Use this form to establish a loan on your account.
Complete all fields. Please type or print.
Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States
Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States
For changing the name and/or address of the existing Annuitant/Participant, Beneficiary(ies), Owner, or Joint Owner of the Contract.
Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States
Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States
This form is to be completed when an applicant wishes to identify a beneficiary with a per stirpes designation.
Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States
Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States
This form is to be completed in order to claim proceeds payable upon death. A separate Proof of Death form should be completed and signed by each beneficiary.
Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States
Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States
Use this form to set up or change contributions to your account from your paycheck.
Please type or print.
Please check with your employer to verify that this agreement meets your employer’s requirements. You must complete sections 1, 5 and any of the following that apply:
Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States
Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States
Use this form to establish a Scheduled Systematic Withdrawal (SSW) from fixed annuities, fixed index annuities, and variable annuities (excludes Mutual of Omaha or NEA).
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Use this form to establish the Scheduled Systematic Withdrawal (SSW) from your account, as required by the Internal
Revenue Service for beneficiary accounts.
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