Home Healthcare Doubler Request for Annuity Contract

Fixed Index Annuity

Home Healthcare Doubler Request for Annuity Contract

This form must accompany any request for the Home Healthcare Doubler and be fully completed and signed by both the owner and authorized physician.

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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
785.368.1772
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For questions or assistance, please call 800.888.2461.