Policyholder Service Forms

Use one of the service forms below to update policy details or to keep your policy if premiums are no longer being deducted from your paycheck.

Formularios en Español

Call customer support:
Monday through Friday, 8 a.m. to 8 p.m. ET
Se habla español

Fax claims information:

Mailing address:
Colonial Life & Accident Insurance Company
P.O. Box 1365
Columbia, SC 29202-1365

Payment Method Change | Form #101869 

Keep your Colonial Life coverage! Use this form to update your payment method and continue coverage if your premiums are no longer being deducted from your paycheck.

Change of Beneficiary | Form #17075

Add or change the designated beneficiary on your Colonial Life policy.

Change of Beneficiary FAQs

Find answers to the most common questions about the Change of Beneficiary form.

Change of Ownership | Form #14001

Update owner and/or contingent owner information for your policy.

Request for Service | Form #05897

Request changes to personal data or to exercise policy provisions.

Request for Service – Life | Form #73712

Request a loan, withdrawal or cancellations/surrender of your life policy.

Third Party Authorization - Policy Owner Billing | Form #595729-1

Authorize representatives to disclose insurance plan, policy, billing, and beneficiary information.