How did you purchase an Assurity policy?

What do you need help with?


Make a payment

Choose from available options

Pay your bill online by creating or accessing your MyAssurity account; or

Pay by phone by contacting Customer Connections at 800-869-0355, Ext. 4279; or

Remit payment by check to our mailing address


Set up automatic bank payments

Download form and send in a request

To set up automatic payments from your bank account, please complete and return the Automatic Bank Payment Form to us by fax at 888-255-2060, secure email or to our mailing address. If you have any questions, contact Customer Connections at 800-869-0355, Ext. 4279. Approximate timeframe to complete set up once the form is received is 4-5 business days.


Request a loan or withdrawal

Download form and send in a request

To request a policy loan or withdrawal, please complete and return the Loan/Withdrawal Request form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 5 business days to process your loan or withdrawal. If you have any questions, contact Customer Connections at 800-869-0355, Ext. 4279.


Get a copy of your policy or certificate

Download form and send in request.

If it’s your first time requesting a copy of your policy, it’s free – otherwise, there is a $20 fee. Complete and return the Duplicate Policy/Certificate Request form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 2 weeks for you to receive the copy. If you only need a description of your policy benefits, contact Customer Connections at 800-869-0355, Ext. 4279 and we can get that information to you within 5-7 business days.


Change your beneficiaries

Download form and send in request

To make a change to your beneficiary(ies), please complete and return the Beneficiary Designation form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 7-10 business days to process your request. Once the beneficiary designation has been updated on our records, you will receive a letter confirming that the beneficiary change has been completed.


Change of name or address

Address change:

(Approximate timeframe to complete is 5 business days.)

Contact Customer Connections at 800-869-0355, Ext. 4279; or

Update your address by logging into your MyAssurity account; or

Complete and return the Change of Name or Address form to us by fax at 888-255-2060, secure email or to our mailing address.

Name change:

(Approximate timeframe to complete is 5 business days.)

Submit a government-issued document (driver’s license, marriage license, etc.) showing your updated name; or

Complete and return the Change of Name or Address form to us by fax at 888-255-2060, secure email or to our mailing address.


Make a disability income claim

Download a disability claim package

In which state does the person making the claim live?

Download Claim Package

Make a critical illness claim

Download a critical illness claim package

In which state does the person making the claim live?

Download Claim Package

Make a death claim

Download death benefit claim package

In which state does the person making the claim live?

Download Claim Package

Frequently asked questions

  1. Pay your bill online by creating or accessing your MyAssurity account;
  2. Pay by phone by contacting Customer Connections at 800-869-0355, Ext. 4279; or
  3. Remit payment by check to our mailing address

Login to your MyAssurity account or give us a call at 800-869-0355, Ext. 4279. For your security, we need to verify some details before we can provide information about your policy.

Fill out the reinstatement forms that were included with your lapse notification letter and submit them to us in the prepaid envelope, or call us at 800-869-0355, Ext. 4279 to request new reinstatement forms.

If you’d like us to try again to withdraw your premium from your original means of payment (checking account, credit card, etc.), please contact Customer Connections at 800-869-0355, Ext. 4279 to verify the account and authorize the second attempt.

Please submit a request via secure email or fax 402-437-4606 and our underwriting department will mail you excerpts from the medical records that influenced the underwriter’s decision.

Need more help? Call us or check our Forms Library.

Please call (844) 401-7585 to obtain necessary forms.


Forms Library

Payment Changes

Claims

For what type of benefit is the claim being made?

In which state does the person making the claim live?

Download Claim Package

Can’t find what you’re looking for? Talk with us.

We understand that insurance isn’t always easy. Give us a call if you have questions or just prefer to speak with someone who can help. Most calls to our Lincoln, Nebraska center are answered within 90 seconds—we’re happy to talk!

Kelly Stineman Headshot

For help with your current policy

Client Services

1-800-869-0355 Ext. 4279
Email: clientservices@assurity.com
Fax: 1-888-255-2060

For a new claim or an existing claim

Claims Reporting and Services

1-800-869-0355 Ext. 4484
Email: claimsinfo@assurity.com
Fax: 1-800-869-0368

For everything else

1-800-869-0355

Secure Email

If you’d like to email us, please use our secure email service to help ensure the information you share with us is seen only by us and not used illegally. Need Instructions?

Send a Secure Email

Why Assurity Life Insurance?

Mutual strength

For 129 years, our financial strength has helped people support one another through difficult times.

A force for good

As a Certified B Corporation, we work toward positive impacts for employees, communities and the environment.

Personal service

Get the customer service you need from real, responsive and efficient people in our Lincoln, Nebraska headquarters.

How did you purchase an Assurity policy?

What do you need help with?


Get a copy of your policy or certificate

Download form and send in request.

If it’s your first time requesting a copy of your policy, it’s free – otherwise, there is a $20 fee. Complete and return the Duplicate Policy/Certificate Request form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 2 weeks for you to receive the copy. If you only need a description of your policy benefits, contact Customer Connections at 800-869-0355, Ext. 4279 and we can get that information to you within 5-7 business days.


Change your beneficiaries

Download form and send in request

To make a change to your beneficiary(ies), please complete and return the Beneficiary Designation form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 7-10 business days to process your request. Once the beneficiary designation has been updated on our records, you will receive a letter confirming that the beneficiary change has been completed.


Request a loan or withdrawal

Download form and send in a request

To request a policy loan or withdrawal, please complete and return the Loan/Withdrawal Request form to us by fax at 888-255-2060, secure email or to our mailing address. It only takes about 5 business days to process your loan or withdrawal. If you have any questions, contact Customer Connections at 800-869-0355, Ext. 4279.


Change of name or address

Address change (Approximate timeframe to complete is 5 business days.)

Contact Customer Connections at 800-869-0355, Ext. 4279; or

Update your address by logging into your MyAssurity account; or

Complete and return the Change of Name or Address form to us by fax at 888-255-2060, secure email or to our mailing address.

Name change: (Approximate timeframe to complete is 5 business days.)

Submit a government-issued document (driver’s license, marriage license, etc.) showing your updated name; or

Complete and return the Change of Name or Address form to us by fax at 888-255-2060, secure email or to our mailing address.


Make a wellness claim

Complete and submit the following form

Download a wellness benefit claim form, Assurity Wellness / Screening Benefits provide a benefit for certain wellness-type exams and procedures.


Make a disability income claim

Download a disability claim package

In which state does the person making the claim live?

Download Claim Package

Make a critical illness claim

Download a critical illness claim package

In which state does the person making the claim live?

Download Claim Package

Make a death claim

Download death benefit claim package

In which state does the person making the claim live?

Download Claim Package

Make an accident expense claim

Download accident expense benefit claim package

In which state does the person making the claim live?

Download Claim Package

Make a cancer expense claim

Download cancer expense benefit claim package

In which state does the person making the claim live?

Download Claim Package

Make a hospital indemnity claim

Download hospital indemnity benefit claim package

In which state does the person making the claim live?

Download Claim Package

Customer Service Forms

For policyholders of Assurity Life Insurance Company, use our Forms Library.

Please call (844) 401-7585 to obtain necessary forms.


Forms Library

Payment Changes

Claims

For what type of benefit is the claim being made?

In which state does the person making the claim live?

Download Claim Package

Can’t find what you’re looking for? Talk with us.

We understand that insurance isn’t always easy. Give us a call if you have questions or just prefer to speak with someone who can help. Most calls to our Lincoln, Nebraska center are answered within 90 seconds—we’re happy to talk!

Established couple coffee table

For help with your current policy

Client Services

1-800-869-0355 Ext. 4279
Email: clientservices@assurity.com
Fax: (888) 255-2060

For a new claim or an existing claim

Claims Reporting and Services

1-800-869-0355 Ext. 4484
Email: claimsinfo@assurity.com
Fax: (800) 869-0368

For everything else

1-800-869-0355

Secure Email

If you’d like to email us, please use our secure email service to help ensure the information you share with us is seen only by us and not used illegally. Learn More

Send a Secure Email

Why Assurity Life Insurance?

Mutual strength

For 129 years, our financial strength has helped people support one another through difficult times.

A force for good

As a certified benefit corporation, we work toward positive impacts for employees, communities, and the environment.

Personal service

Get the customer service you need from real, responsive, and efficient people in our Lincoln, Nebraska headquarters.