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Deferred annuity claim form Fixed deferred annuity only from Union Fidelity Life Insurance Company PUBLIC P Box 1572. O. Lynchburg, VA 24505-1572 For OVERNIGHT purposes ONLY: Attn: Life & Annuity
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How to fill out deferred annuity claim form

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How to fill out a deferred annuity claim form:

01
Gather all necessary documents: Before starting to fill out the form, make sure you have all the required documents handy. This may include your policy booklet, identification proof, proof of the annuitant's death or disability, and any other supporting documents as specified by the insurance company.
02
Provide personal information: The first section of the form will typically ask for your personal details, such as your name, address, date of birth, and contact information. Fill in this information accurately to avoid any processing delays.
03
Policy details: Provide the policy number, annuitant's name, and any other policy-related information as required. It is important to double-check these details to ensure accuracy.
04
Reason for claim: Specify the reason for submitting the claim form, whether it is due to the annuitant's death or disability. Provide any additional information or documentation requested to support your claim.
05
Beneficiary details: If you are the beneficiary of the deferred annuity, you may be required to provide your own personal information, including your relationship to the annuitant and your contact details.
06
Payment instructions: Indicate how you prefer to receive the claim payment, such as via direct deposit or check. Provide the necessary banking details if applicable, or specify whether you want the payment to be mailed to a particular address.
07
Sign and date: Carefully read through the entire form and ensure that all sections have been completed accurately. Sign and date the form in the designated area, as failing to do so may result in delays in processing your claim.

Who needs deferred annuity claim form?

01
Beneficiaries: If you are the designated beneficiary of a deferred annuity, you will likely need to fill out the claim form to initiate the process of receiving the funds from the annuity account. This typically occurs upon the death or disability of the annuitant.
02
Policyholders: In some cases, policyholders themselves may need to fill out a deferred annuity claim form when they have elected to start receiving their annuity payments. This may happen once the deferred annuity reaches its maturity date and the policyholder chooses to convert it into regular income payments.
03
Authorized representatives: In situations where the annuitant is unable to fill out the claim form themselves, an authorized representative such as a power of attorney or legal guardian may be required to complete the form on the annuitant's behalf.
Overall, it is crucial to carefully follow the instructions provided on the deferred annuity claim form and submit all necessary documentation to ensure a smooth and timely processing of your claim.
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Deferred annuity claim form is a document that needs to be filled out and submitted by individuals who are eligible to receive payments from a deferred annuity policy. This form is used to request the payment of annuity benefits that have been accumulated over a period of time.
Individuals who have a deferred annuity policy and are eligible to start receiving annuity payments are required to file the deferred annuity claim form. This includes policyholders who have reached the required age or fulfillment of other policy conditions to commence the annuity payments.
To fill out the deferred annuity claim form, you need to provide personal information such as your name, address, contact details, policy number, and beneficiary information if applicable. You may also need to provide supporting documents such as proof of age or any other required proofs as per the policy terms. It is recommended to carefully read the instructions provided with the form and fill it accurately.
The purpose of the deferred annuity claim form is to initiate the process of receiving annuity payments from a deferred annuity policy. By submitting this form, individuals notify the insurance company or annuity provider about their intention to start receiving the accumulated annuity benefits as per the policy terms.
The deferred annuity claim form typically requires reporting personal information such as name, address, contact details, policy number, and beneficiary details if applicable. It may also require providing information related to age, policy terms, and any other specific requirements mentioned in the form or policy guidelines.
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