First Life America Corporation

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POLICYOWNER SERVICE

If you have a question about your policy please contact a customer service representative toll-free at 866-211-0811.

Service Forms: The forms below are provided for your convenience. All forms should be completed fully, signed by the policyowner and returned to us. Please note that no action will be taken on a specific request until a properly completed form is received and accepted by us. By providing these forms we do not confirm that coverage is in force or that your request can be processed.

For life insurance claims please be sure to include a certified copy of the death certificate along with a completed claim form. However, before completing a claim form we recommend that you call us first so that we may verify the claim requirements.

Service Request Form Life Claim Form
Loan Request Form Accelerated Benefit Claim Form
Assignment Form Annuity Claim Form

Mailing Address:
First Life America Corporation
1303 SW First American Place
Topeka, Kansas 66604

 

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