Account Value Reallocation Request for Total Value Annuity

Fixed Index Annuity

Account Value Reallocation Request for Total Value Annuity

Use this form to allocate Account Value among the Fixed Account and Index Accounts. 

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Instructions
  • Please complete all sections. Use this form to reallocate Account Value among the Fixed Account and Index Accounts.
     
  • If you would like to make changes to your allocations, this form must be received within 21 days after your Contract Anniversary date for the changes to take effect.
     
  • Please type or print.
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