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Request to End Coverage The Prudential Insurance Company of America GUL P.O. Box 8769 Philadelphia, PA 191768769Group Universal Life Please print using blue or black ink. InstructionsUse this form
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How to fill out group universal life withdrawal

01
Obtain the necessary forms from your insurance provider or download them from their website.
02
Fill out the required personal information section, including your name, address, and contact details.
03
Provide your policy information, including the policy number and the type of withdrawal you want to make.
04
Indicate the amount you wish to withdraw from your group universal life policy.
05
If applicable, specify the investment options you would like the withdrawn funds to be allocated to.
06
Sign and date the withdrawal form.
07
Submit the completed form to your insurance provider either online, by mail, or in person.
08
Keep a copy of the form for your records.

Who needs group universal life withdrawal?

01
Individuals who have a group universal life insurance policy and need access to their accumulated funds.
02
People who require additional financial support or want to make use of their policy's cash value.
03
Those who have experienced a change in financial circumstances and need to withdraw money from their policy.
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Group universal life withdrawal refers to the process of taking funds out of a group universal life insurance policy, which is a type of permanent life insurance that combines a death benefit with a savings component.
Generally, the policyholder or the authorized representative of the group life policy is required to file for a group universal life withdrawal.
To fill out a group universal life withdrawal, you typically need to provide the policy number, personal details, the amount to be withdrawn, and any required signatures or authorization.
The purpose of group universal life withdrawal is to access the cash value accumulated in a group's life insurance policy for personal use, which can provide added financial flexibility.
You must report the policyholder's information, beneficiary details, withdrawal amount, reason for withdrawal, and any identification required by the insurance provider.
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