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IN Wilco Life Insurance Company Third-Party Designee Form 2016-2025 free printable template

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WILCOX LIFE INSURANCE COMPANY P.O. Box 2022 Carmel, Indiana 460822022 18005257662THIRDPARTY DESIGNEE Former protection against unintentional lapse, you have the right to designate a person other than
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How to fill out IN Wilco Life Insurance Company Third-Party Designee Form

01
Obtain the IN Wilco Life Insurance Company Third-Party Designee Form from their official website or customer service.
02
Fill in your personal information including full name, address, and contact details in the designated sections.
03
Provide the policy number for which you are designating a third-party.
04
Enter the full name and contact details of the third-party designee.
05
Specify the scope of authority you are granting to the third-party, whether it's general or limited.
06
Sign and date the form at the bottom where indicated.
07
Submit the completed form as per the instructions provided by IN Wilco Life Insurance Company, either via mail or electronically.

Who needs IN Wilco Life Insurance Company Third-Party Designee Form?

01
Individuals who want to authorize someone else to manage their life insurance policy.
02
Policyholders who cannot manage their insurance affairs due to health or personal reasons.
03
Persons planning to allow a trusted individual to make changes or access information related to their insurance policy.
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The IN Wilco Life Insurance Company Third-Party Designee Form is a document that allows policyholders to designate an individual or entity to obtain information or make inquiries on their behalf regarding their life insurance policy.
Policyholders of Wilco Life Insurance Company who wish to authorize a third party to act on their behalf regarding their life insurance policy are required to file this form.
To fill out the form, policyholders should provide their personal information, specify the third party's details (name and relationship), and sign the form to authorize them to act on their behalf.
The purpose of the form is to formally grant permission for a designated third party to access policy information and communicate with the insurance company regarding the policyholder's account.
The information that must be reported includes the policyholder's name, contact information, the designee's name, contact information, their relationship to the policyholder, and the policy number.
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