Use this form at time of application to designate an Owner if different than the Proposed Insured. Use this form after issue to change the Owner on existing MassMutual policies/contracts.
Use this form for legal name changes of corporations and partnerships. DO NOT USE if the name change is due to a merger or sale of assets, the results of the termination of the partnership interest of any partner, or the creation of a partnership interest in a new partner. Replaces F7407.
Use this form to authorize distribution of group list bill.
Use this form for Electronic Billing and Payments.
Use this form to have premiums automatically deducted from your bank account, change bank name or account of an existing draft. May be faxed.
This form can also be filled out online.
Use this form for multi-service change requests for policies. Use this form to change the premium payer name and address; change or correct the name of the insured, owner, beneficiary, payer or payee; change the premium payment mode; change the dividend option; change or exercise the non-forfeiture option; add or revoke the Automatic Premium Loan (APL) provision; Use dividends to repay the loan; and cancel Modified Payment Option (MPO) authorization. This form can only be Used for policies issued by Connecticut Mutual Life.
Use this form to request a duplicate policy.
Use this form to apply for a policy loan on a life insurance policy, including Variable Life policies. The completed form may be faxed.
This premium election form should be used to make additional contributions to your policy.
Use this form for: Changes to Automatic Premium Loans; Face Amount Decrease; Name Changes; Changes of Address; Death Benefit Option Changes.