Dollar Cost Averaging for Annuity Contract

Variable Annuity | Mutual Fund

Dollar Cost Averaging for Annuity Contract

Use this form to request periodic exchanges from one investment option to one or more investment options. Dollar Cost Averaging is subject to the provisions of your Contract and the current Prospectus.

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Instructions

Must be accompanied by the Fund Investment Options Sheet.

Complete the entire form. Please type or print.

By Mail

Security Benefit
P.O. Box 750497
Topeka, KS 66675-0497
United States

Overnight Delivery

Security Benefit
Mail Zone 497
One Security Benefit Place
Topeka, KS 66636-0001
United States

By Fax
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For questions or assistance, please call 800.888.2461.