Agent Login HOME ABOUT MERGERS & ACQUISITIONS FORMS FAQ CONTACT US FORMS LIFE INSURANCE FORMS Ownership Change Request Form Download PDF Address Change Request Download PDF Annuitization Request Form Download PDF Annuity Surrender Form Download PDF Annuity Withdrawal Form Download PDF Automatic Bank Draft Authorization Form Download PDF Beneficiary Change Form Download PDF Coverage Reduction Request Form Download PDF Dividend Update Form Download PDF Fidelity Security Life Claim Form Download PDF Fidelity Security Life Claim Form For Illinois Download PDF GLB Privacy Notice Download PDF Life Claim Form Download PDF Name Change Request Form Download PDF Partial Surrender of Life Insurance Download PDF Policy Loan Request Form Download PDF Life Insurance Surrender Request Download PDF HEALTH FORMS Address Change Request Download PDF Automatic Bank Draft Authorization Form Download PDF HIPAA Notice Download PDF HIPAA Authorization Form Download PDF Individual Health Claim Form Download PDF Texas Major Medical Telemedicine Notice Download PDF Name Change Request Form Download PDF DISABILITY FORMS HIPAA Authorization Form Download PDF Individual Disability Claim Form Download PDF HIPAA PRIVACY NOTICE HIPAA NOTICE Download PDF HIPAA AUTHORIZATION FORM Download PDF GLB PRIVACY NOTICE GLB PRIVACY NOTICE Download PDF OTHER Ownership Change Request Download PDF Annuity Withdrawal Form Download PDF Beneficiary Change Form Download PDF Lost Policy Affidavit – Notary Req. Download PDF Lost Policy Affidavit Download PDF © 2021 Unified Life Insurance Company HOME ABOUT MERGERS & ACQUISITIONS FAQ CONTACT US LEGAL PRIVACY POLICY

Agent Login HOME ABOUT MERGERS & ACQUISITIONS FORMS FAQ CONTACT US FAQ Questions About Billing & Claims Can I make a premium payment with a credit card? What do I do if my payment is late? When can I pay my premiums? How can I pay my premium? Can I fax a claim? How do I submit a claim? Questions About Life Insurance What is a participating policy? What happens to the cash value in my policy when I die? Does my term life insurance policy have cash value? What is “convertible” term life insurance? How does life term insurance differ from permanent coverage? What is a beneficiary and how do I name one? Can I change the owner of my policy? How do I change my name or address? Can I make changes or obtain information on my spouse/child/parent’s policy if I took out the policy and pay the premiums? How do I file a death claim? Questions About Privacy Is my personal health information private? What kind of health information is considered private? What are my rights with regards to my privacy? What are Unified Life’s responsibilities with regard to my privacy? © 2021 Unified Life Insurance Company HOME ABOUT MERGERS & ACQUISITIONS FAQ CONTACT US LEGAL PRIVACY POLICY