Assignment of Life Insurance

If the current owner of life insurance wants to assign ownership of coverage, then the current owner and the new owner must complete and sign this form. Check the policy or certificate to determine what types of assignments are allowed.

The completed form must be sent to the insurer for approval, along with copies of all enrollment forms or applications, beneficiary designations and past assignments.

Form for Association Group Term LifeForm Number

Absolute Assignment form for group life policies issued by ReliaStar Life Insurance Company

114865

Absolute Assignment form for group life policies issued by ReliaStar Life Insurance Company of New York

114865

Form for Individual YRT and Individual TriTermForm Number

Absolute Assignment form

125691 (3/13)

Collateral Assignment

TBD

Release of Collateral Assignment

TBD

Ad Log #8623