Worksite Administrative Forms

Information checklist when providing request for proposal.

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All cases must submit a Case Enrollment form prior to enrollment.

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Universal change form covering: cancellation or termination coverage, changes to: beneficiary, name, address, owner, or payor; request policy, or decrease coverage.

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state-specific Notice of Replacement of Life Insurance or Annuity forms for FPP-TI and FPP-CI

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New Statutory Office
Effective December 18, 2017, 5Star Life Insurance Company (5Star Life) moved its statutory Office from Baton Rouge, Louisiana to Lincoln, Nebraska.
There are no changes to 5Star Life insurance contracts and life insurance contracts offered by Armed Forces Benefit Association (“AFBA”).
All AFBA products are underwritten by 5Star Life, except in New York. No action is required by the policyholder.