
Get Midland National Beneficiary Change Request 2014-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Midland National Beneficiary Change Request online
This guide provides step-by-step instructions on how to complete the Midland National Beneficiary Change Request online. By following these clear instructions, you can ensure that your beneficiary designations are accurately updated and processed efficiently.
Follow the steps to complete the beneficiary change request form.
- Click ‘Get Form’ button to access the Beneficiary Change Request form and open it for editing.
- In Section 1, provide the insured person's first name, middle name, and last name. Fill in their permanent address, including city, state, and zip code. If you wish this address to be the address of record for the policy, check the appropriate box. Enter the date of birth, phone number, and Social Security number or Tax Identification Number.
- If the owner of the policy is different from the insured, complete Section 2 with the owner's information. This includes their name, permanent address, and same identifiers as the insured, including date of birth, phone number, and Social Security number or Tax Identification Number.
- Refer to Section 3 for general provisions. Ensure you complete the form in its entirety and denote percentage distributions for primary and contingent beneficiaries, making sure they total 100%. If you want to distribute proceeds per stirpes, check the box and attach a list of beneficiaries' children, if applicable.
- In Sections 4A and 4B, list the primary and contingent beneficiaries. For each beneficiary, fill out their name, percentage, date of birth, address, relationship to the insured, Social Security number or TIN, and phone number. If needed, check the box for additional pages.
- Moving to Section 5, all owners must sign and date the document. If applicable, obtain the signature of a spouse or witness as required based on your state’s regulations.
- If a trust is involved, Section 6 requires the completion of trust-related information, including the name of the trust, grantor(s), trustee(s), and relevant identification numbers.
- After reviewing all entered information, save your changes. You may then download, print, or share the completed Beneficiary Change Request form.
Complete your beneficiary change request online today to ensure that your designations are updated accurately.
To fill out the change of beneficiary form for life insurance, begin by clearly identifying your policy number and the current beneficiaries. Then, on the Midland National Beneficiary Change Request form, input the new beneficiary’s details, ensuring all sections are accurately filled out. After thorough review, submit this form to ensure the changes are officially recorded.
Fill Midland National Beneficiary Change Request
Beneficiary change information. Easily access your account information in one place. It's safe, secure and takes just one click! We are available Monday through Thursday from am to pm, CST and Friday from am to pm. SAMMONS RETIREMENT SOLUTIONS (MIDLAND NATIONAL) Forms included in the Laser App online form library. You understand and agree that Midland National may presume that no community property interest exists if you have not obtained your spouse's signature above. MIDLAND NATIONAL LIFE INSURANCE Forms included in the Laser App online form library. Beneficiary Change: Name Change: Page 103. 103. To be completed for address or name change requests. Edit, sign, and share midland national beneficiary change form online.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.