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Application for Individual Annuity AMERICAN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK page 1Mailing Address: Mail Processing Center, P.O. Box 4408, Springfield, MO 658084408 Business: (866) 4903163AGENT

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How to fill out beneficiary change request

01

Obtain the beneficiary change request form from the appropriate source.

02

Fill out the form with the current policy holder's information.

03

Provide the current beneficiary's information that needs to be changed.

04

Indicate the new beneficiary's information that will be replacing the current one.

05

Review the form for accuracy and completeness before submitting.

06

Sign and date the form, then submit it to the appropriate department for processing.

Who needs beneficiary change request?

01

Policy holders who wish to update or change the beneficiary on their insurance policy.

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What is beneficiary change request?

Beneficiary change request is a form submitted to update the designated recipient of benefits or assets in case of the original beneficiary is no longer able to receive them.

Who is required to file beneficiary change request?

The policyholder or the account holder is required to file beneficiary change request in order to update the recipient of benefits.

How to fill out beneficiary change request?

To fill out beneficiary change request, the policyholder or account holder must provide their information, details of the current beneficiary, and information of the new desired beneficiary.

What is the purpose of beneficiary change request?

The purpose of beneficiary change request is to ensure that benefits or assets are distributed according to the policyholder's or account holder's wishes.

What information must be reported on beneficiary change request?

The beneficiary change request must include the policyholder's or account holder's information, details of the current beneficiary, and information of the new desired beneficiary.

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