Service Request Form

Our Service Request Form allows you to request a wide variety of policy/certificate services, including change of beneficiary, change of name, transfer of ownership, address change, policy loan request, and cancellation of coverage.

Applies to the following coverages:

  • Universal Life
  • Whole Life
  • Accident
  • Critical Illness or
  • Voluntary Disability Income Insurance

Voya™ Employee Benefits-Payroll Deduction Service Center
Attention: Administration, Route 8525

PO Box 122
Minneapolis, MN 55440-9181

Form Name

Service Request Form for certificates / policies issued by ReliaStar Life Insurance Company

Service Request Form for certificates / policies issued by ReliaStar Life Insurance Company of New York

Ad Log #8619