When replacing another insurer's contract, be certain you are obtaining all the appropriate forms. Please send the original copy of the state replacement form to Security Benefit, provide the applicant with a copy and retain a copy for the agent file.
(Required on replacement cases for AK, AL, AR, AZ, CO, CT, FL, HI, IA, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NJ, NM, NV, OH, OK, OR, RI, SC, TX, UT, VA, VT, WI, WV)
(AK, AL, AZ, CO, CT, HI, IA, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NJ, NM, OH, OR, RI, SC, SD, TX, UT, VA, VT, WI, WV)
PDFs of State Replacement Forms
*Requires completion of all the forms listed for the state.