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Find a form
You will find below fillable forms that allow you to make changes regarding your policy. You can send the form either by email at, by fax or by mail at the contact information found on our Contact Us page.

If you need help, or to submit a claim for death, disability or critical illness, please contact your advisor or our Client Services team.

Dividends for participating policyholders
Participating life insurance policyholders have the opportunity to earn policyholder dividends. When you purchase a participating life insurance policy, your premiums are credited to an account called the participating account. Participating policyholders are eligible to receive earnings from that account.
Dividends are not guaranteed. They may be affected by several experience factors. Participating policies are grouped based on certain factors such as type of policy and when it was purchased. The experience of each group determines the dividends available to be allocated within the group.
Dividends may vary upward or downward from those illustrated depending on a number of variables. Assumption Life’s appointed actuary looks at the mortality experience, the expense experience (including taxes) and the investment experience for each group of participating policies and makes an annual recommendation to the Board of Directors. The Board dictates annually the dividend scales allocated to the next year.

View our Notice – Change to Dividend Scales

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Customer Service

If you need further information or are experiencing technical difficulties, please do not hesitate to contact us.

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Send us your documents

Please note that only original versions are required for authorization for disclosure of information.

By email at

By fax or by mail at the contact information found on our Contact Us page.