MONY Life Insurance Change of Beneficiary Form
This document provides guidelines for completing the Change of Beneficiary and/or Rightsholder form. It includes sample wordings and essential instructions to help ensure accurate completion. Follow this guide to ensure your beneficiary designation is processed correctly.
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How do I fill this out?
To fill out the form, start by designating your primary beneficiary in Section 1. Next, provide any additional information requested about the beneficiary. Finally, review and sign the form where indicated to submit.

How to fill out the MONY Life Insurance Change of Beneficiary Form?
1
Review the form carefully before starting.
2
Complete Section 1 by entering beneficiary details.
3
Provide supplemental information for each beneficiary.
4
Designate the rightsholder in Section 2 if needed.
5
Sign and date the form to validate your entries.
Who needs the MONY Life Insurance Change of Beneficiary Form?
1
Individuals updating life insurance policies need this form.
2
Executors of estates must ensure beneficiary designations are updated.
3
Customers changing ownership of insurance policies will require this documentation.
4
Trustees managing trust arrangements may need to designate beneficiaries.
5
Business owners altering life insurance for key employees should utilize this form.
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Select the areas in the document that you want to edit.
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Export or save the edited PDF once completed.

What are the instructions for submitting this form?
Submit this completed form via fax at 205-268-6479 or by mailing it to MONY Life Insurance Company, PO Box 1928, Birmingham, AL 35201-1928. You may also contact customer service at 1-800-487-6669 for additional assistance. Ensure all fields are completed to avoid delays in processing your request.
What are the important dates for this form in 2024 and 2025?
You should note that the form is to be submitted in a timely manner to avoid any delays in beneficiary changes. Ensure submissions are made before any deadlines related to insurance policy adjustments. Always keep track of updates regarding policy changes for future requirements.

What is the purpose of this form?
The purpose of this form is to officially designate beneficiaries for life insurance policies held with MONY Life Insurance. It ensures that the right individuals receive the benefits as per the policyholder's wishes. Completing this form accurately helps avoid potential disputes or delays during claim processing.

Tell me about this form and its components and fields line-by-line.

- 1. Beneficiary Designation: Field for entering the name and details of the beneficiary.
- 2. Rightsholder Designation: Field for specifying ownership details of the policy.
- 3. Signatures: Section for required signatures by policyholder and witnesses.
What happens if I fail to submit this form?
Failure to submit this form may result in the existing beneficiary designations remaining in effect. This could lead to unintended distributions of the policy benefits upon the policyholder's passing. It's crucial to complete and submit the form to reflect your current wishes.
- Outdated Information: The policy may still reflect outdated beneficiary details.
- Claims Process Delays: Delays may occur in processing claims if beneficiaries are not updated.
- Potential Disputes: Failure to designate beneficiaries clearly can lead to disputes among heirs.
How do I know when to use this form?

- 1. Updating Beneficiaries: If your life circumstances change, it's vital to update your beneficiaries.
- 2. Transferring Ownership: Use this form to officially transfer the ownership of the policy.
- 3. Designating Multiple Beneficiaries: Utilize this form for specifying primary and contingent beneficiaries.
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