COMB 98992 Ed. 4/2014 The State of Kentucky prohibits a beneficiary from collecting benefits under an insurance policy if convicted of taking the life of the decedent or of certain felonies involving abuse, neglect or financial exploitation of the decedent resulting in a …

Need help finding your Prudential forms? Come here to find a list of forms and documents for your annuities, voluntary benefits, and life insurance.

Use this form to change the beneficiary(or beneficiaries) of amounts due under a structured settlement annuity contract (SSA Contract) issued by Prudential. If you die, your beneficiary(or beneficiaries) will receive the guaranteed payments payable after your death that have not already been paid to you.

For use by Structured Settlement claimants/payees only. After you have completed this form, please return to Prudential using the Return instructions provided below in Section 4. Please do not share this form with anyone other than a verified representative of Prudential.

Feb 10, 2023 · Use this form to change who you’d like to receive any proceeds payable in the event of the passing of the owner or annuitant (see prospectus for more details). This form can be used to make this change on an annuity contract held with Prudential.

To help facilitate payment when a claim is made, we need to have certain information about each beneficiary. The information we request for each beneficiary helps us identify and locate the beneficiary for payment.

It facilitates the updating of individual beneficiaries, including primary, contingent, and tertiary classifications, which determine the order in which benefits are paid upon the insured's death.

In accordance with the beneficiary provisions of the policy, I hereby request Combined Insurance Company of America to pay the death benefit of the insurance policy above according to the …