Form preview

Get the free Change of Name Statement

Get Form
We are not affiliated with any brand or entity on this form
Illustration
Fill out
Complete the form online in a simple drag-and-drop editor.
Illustration
eSign
Add your legally binding signature or send the form for signing.
Illustration
Share
Share the form via a link, letting anyone fill it out from any device.
Illustration
Export
Download, print, email, or move the form to your cloud storage.

Why pdfFiller is the best tool for your documents and forms

GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

End-to-end document management

From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.

Accessible from anywhere

pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.

Secure and compliant

pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
Form preview

What is Name Change Form

The Change of Name Statement is an insurance form used by policyholders to notify National Benefit Life Insurance Company of a name change for the insured, owner, beneficiary, or annuitant.

pdfFiller scores top ratings on review platforms

Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Show more Show less
Fill fillable Name Change form: Try Risk Free
Rate free Name Change form
4.0
satisfied
54 votes

Who needs Name Change Form?

Explore how professionals across industries use pdfFiller.
Picture
Name Change Form is needed by:
  • Insured individuals needing to update their name on policies
  • Policy owners changing their legal name
  • Beneficiaries with a name change that affects policy information
  • Annuitants experiencing a name change due to marriage or divorce
  • Insurance agents assisting clients with name changes
  • Legal representatives managing insurance policies

Comprehensive Guide to Name Change Form

What is the Change of Name Statement?

The Change of Name Statement is a crucial form used by policyholders to notify the National Benefit Life Insurance Company about changes to names associated with their policies. Its primary function is to ensure that all records accurately reflect the current names of the insured, owners, beneficiaries, and annuitants. This statement is vital for maintaining clear communication and effective processing of insurance claims.
This form applies to various stakeholders, including the insured individuals, policy owners, beneficiaries, and annuitants, who may need to update their information due to personal circumstances.

Purpose and Benefits of the Change of Name Statement

Completing the Change of Name Statement is necessary to maintain accurate records within the insurance framework. It helps in ensuring that all beneficiary information remains correct, thereby avoiding potential legal issues that may arise from discrepancies. Additionally, this form is essential for seamless processing of insurance claims with the National Benefit Life Insurance Company.
  • Maintains accurate records across insurance documents.
  • Ensures correct beneficiary information, reducing the risk of disputes.
  • Averts potential legal complications related to name discrepancies.

Who Needs to Use the Change of Name Statement?

Stakeholders involved in the name change process must complete the Change of Name Statement. This includes individuals who fall under one of these categories: insured, owner, beneficiary, or annuitant. There are various scenarios that necessitate the use of this form, such as after marriage, divorce, or a personal choice to adopt a new name.
  • Insured individuals changing their name.
  • Owners who legally change their names.
  • Beneficiaries needing to update their name after significant life events.
  • Annuitants who decide to change their identity officially.

When to File the Change of Name Statement

Filing the Change of Name Statement should occur promptly after a name change event. Timeliness is critical, especially when associated with policy renewals or updates. Delays in submitting the form may lead to complications in processing claims and other essential communications with the insurance provider.
Be aware of any deadlines that could impact your policy, ensuring that the submission is completed as soon as possible following the name change.

Instructions for Completing the Change of Name Statement Online

To fill out the Change of Name Statement using pdfFiller, gather the necessary information before starting. You will need your old name, new name, policy number, and the reason for the change. Here are the step-by-step instructions for completing the form digitally:
  • Access the Change of Name Statement on pdfFiller.
  • Input your old name in the designated field.
  • Enter your new name accurately.
  • Provide your policy number in the corresponding field.
  • State the reason for the name change succinctly.
  • Review all entered information for accuracy.
  • Submit the form as indicated on the platform.

Field-by-Field Instructions for the Change of Name Statement

Each section of the Change of Name Statement requires specific information that must be entered correctly. Here is what to enter for each field:
  • Old Name: The full name prior to the name change.
  • New Name: The new name that will replace the old name.
  • Policy Number: The unique identifier associated with your insurance policy.
  • Reason for Name Change: Briefly explain why the name change is necessary.
To avoid common errors, double-check all entries, especially the spelling of names and policy numbers.

Submission Methods for the Change of Name Statement

After completing the Change of Name Statement, there are several methods available for submission. Here are the outlined submission methods:
  • Online: Use pdfFiller for digital submission.
  • Mail: Send printed copies of the completed form to the designated address.
Be sure to track your submission, especially if mailed, to ensure it reaches the National Benefit Life Insurance Company without issues.

Security and Compliance When Submitting Your Change of Name Statement

When submitting sensitive information, security and compliance are paramount. pdfFiller ensures document protection through advanced protocols, adhering to regulations such as HIPAA and GDPR. Protecting your data during submission is essential to safeguard your personal information from unauthorized access.
Always verify that the platform you're using has the necessary measures in place to secure your documents throughout the process.

What Happens After You Submit the Change of Name Statement?

Post-submission, policyholders can check the status of their name change request. It's advisable to follow up with the insurance company to confirm receipt and processing of the Change of Name Statement. Be prepared to provide any additional information if required.
The typical processing time may vary, but staying informed can help ensure the name change is applied to your policy without unnecessary delay.

Make the Name Change Process Seamless with pdfFiller

Utilizing pdfFiller for your Change of Name Statement makes the entire process more efficient. The platform offers features like eSigning and a user-friendly interface, streamlining the submission process. Trust in a reliable platform is necessary for completing and submitting important forms related to your insurance policies.
Last updated on Apr 4, 2016

How to fill out the Name Change Form

  1. 1.
    Access pdfFiller and search for 'Change of Name Statement' in the search bar to find the form.
  2. 2.
    Click on the form to open it in the editor where you can begin to fill it out.
  3. 3.
    Gather relevant information such as the insurance policy number, old name, new name, and the reason for the name change before starting.
  4. 4.
    Use the left sidebar to navigate to different fields of the form. Click on each blank space to type in the required information.
  5. 5.
    Ensure you enter the policy number in the designated field and provide both the previous and current names accurately to avoid confusion.
  6. 6.
    Once all fields are filled, review the document carefully. Check for any missing signatures and ensure that all information entered is correct.
  7. 7.
    When satisfied with the completed form, click on the 'Save' button to save your progress or use the 'Download' option to save a copy to your device.
  8. 8.
    To submit the form, check for any submission methods provided or consider sending it via email or mail according to National Benefit Life Insurance Company's guidelines.
Regular content decoration

FAQs

If you can't find what you're looking for, please contact us anytime!
Eligibility for the Change of Name Statement applies to policyholders including insured individuals, owners, beneficiaries, and annuitants who are undergoing a legal name change.
While specific deadlines are not indicated, it's advisable to submit the Change of Name Statement promptly after the name change to ensure all policy records are updated correspondingly.
The completed Change of Name Statement can typically be submitted via mail, or email, depending on the specifications outlined by National Benefit Life Insurance Company. Check their guidelines for preferred submission methods.
While the Change of Name Statement does not explicitly require supporting documents, it's often beneficial to have legal proof of your name change, such as a marriage certificate or court order, available when submitting.
Common mistakes include omitting signatures, misspelling names, or leaving fields blank. Double-check all entries and ensure all required signatures are included before submission.
Processing times for the Change of Name Statement can vary, but allow for several business days after submission for updates to be reflected in policy documentation. Contact National Benefit Life for specifics.
No, the Change of Name Statement does not require notarization, making the process of updating your name straightforward and less time-consuming.
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.