Account Value Transfer Request for Annuity Contract

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

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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
Download
For questions or assistance, please call 800.888.2461.
Variable Annuity | Fixed Annuity | Fixed Index Annuity

Outgoing Funds Request for Annuity Contracts

Use this form to transfer funds from Security Benefit to a new carrier.

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Preference Beneficiary Affidavit for Annuity Contract

Annuity Products Only

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Fixed Annuity | Fixed Index Annuity

Restricted Beneficiary Designation for Annuity Contract

This form should be used if you wish to place restrictions on the payout of your death benefit to your beneficiaries. This Beneficiary Designation supersedes any and all previous Beneficiary designations.

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Complete all information within each of the applicable sections. If incomplete, the form may be returned.

• Section 1 – You must complete the entire General Account Information section.
• Sections 2 and 3 – These sections allow you to designate up to two Primary Beneficiaries.
• Sections 4 and 5 – These sections allow you to designate up to two Contingent Beneficiaries.
• Section 6 – You must obtain all required signatures:
   – All Owners must sign the request.
   – If you are married and live in a Community Property State, your spouse must sign if he/she is not the primary beneficiary.
   – If the Owner is a Trust, the trustee(s) must sign the request.

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
Download
For questions or assistance, please call 800.888.2461.
Fixed Annuity | Fixed Index Annuity | Variable Annuity

Scheduled Systematic Withdrawal Request for Annuity Contract

Use this form to establish a Scheduled Systematic Withdrawal (SSW) from fixed annuities, fixed index annuities, and variable annuities (excludes Mutual of Omaha or NEA).

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Mutual Fund | Variable Annuity | Other

Required Minimum Distribution (RMD) for Custodial Account

The Internal Revenue Service (IRS) requires individuals to begin receiving a Required Minimum Distribution (RMD) from qualified accounts(s) at 70½. Upon attaining this age, it is your responsibility to request these distributions.

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Mutual Fund | Variable Annuity | Other

Scheduled Systematic Withdrawal Request for Custodial Account

Use this form to establish a Scheduled Systematic Withdrawal (SSW) mutual fund group retirement accounts.

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Mutual Fund | Variable Annuity | Other

Withdrawal Request for Custodial Account

Use this form to make a one-time withdrawal from mutual fund group retirement accounts (excludes Mutual of Omaha or NEA).

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Variable Annuity

Outgoing Funds Request for Mutual of Omaha/United of Omaha

Use this form to transfer funds from Security Benefit to a new carrier.

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Variable Annuity

AdvanceDesigns DCA Plus

You may allocate all or part of your initial purchase payment to the DCA Plus Account.

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Complete the entire form to select this option and return it with your new account application. The following restrictions apply:

  • DCA Plus is not available with an Alternate Withdrawal Charge Rider
     
  • DCA Plus is not available with the Extra Credit Rider.
     
  • Subsequent purchase payments may be allocated to the DCA Plus Account only during the DCA Plus Period and such amounts will be transferred to the applicable investment directions over the months remaining in the DCA Plus Period.
     
  • Transfers of Contract Value from the DCA Plus Account to the Fixed Account are not permitted.
     
  • Transfers of Contract Value to the DCA Plus Account are not allowed.

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
Download
For questions or assistance, please call 800.888.2461.