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Forms with this icon are in PDF format. You will need Adobe Reader to view and print the documents. These documents will need to be faxed to us at 515-247-2435 or sent to us via mail. BillingAutomatic Premium Payment Change
Use this form to change your bank or method of premium payment for automatic monthly withdrawals. PolicyChange Policyholder Personal Information
Use this form to update your address. Oregon Policyholder Estimate of Costs 
If you are an Oregon policyholder with major medical coverage, please read this notice for detailed instructions to obtain an estimate of costs. Affidavit to Authorize World Insurance Company to Pay Policy Benefits
Use this form to have a check reissued that was previously issued to the estate. Privacy Authorization Form
Use this document to grant covered entity permission to release information to designated individuals. PharmacyPrescription Drug Claim Form
Need to make a claim for a prescription drug? This is the form you need to submit to ExpressScripts, Inc. Life InsuranceLife Policy Beneficiary Change
Make changes to the beneficiary designation on your life insurance policy. Cash Surrender Value Request
Cancel your life insurance policy with cash value and receive the cash surrender value. Partial Cash Surrender Value Request
Take a partial withdrawal from the cash value of your LifeSavings policy but maintain coverage with decreased death benefit. Policy Loan Agreement
Use this form to borrow from the cash value on a policy. Extended Term Insurance Request
Request to use cash value to extend length of policy without paying any further premium payments. Dividend Options
If dividends are earned, this form will change the way dividends are paid. Use this form to update name or address. Reduced Paid-Up Insurance Request
To use the cash value to reduce death benefit without any further premium payment. Proof of Death/W-9 Form
These forms are required when filing a Death Claim for a Life Insurance Policy.
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