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How to name beneficiaries and fund a trust at Assurity

Beneficiaries are managed by phone or by mail. Trust paperwork is taken by phone or by mail

For Assurity policyholders, estate planning comes down to one critical step: making sure the right beneficiaries are named on every policy. Insurance proceeds bypass probate entirely and go directly to whoever is listed—regardless of what a will says. When estate tax planning or controlled distributions are a factor, a trust can be named as beneficiary instead.

Across 16 product types, Assurity policies vary in how they transfer at death. The sections below walk through beneficiary designations, trust funding options, and which products support each method.

Beneficiary form at Assurity

Beneficiary Designation (form 18-612-05055).

Open the form →
Assurity Term Life InsuranceLife Protect+Whole Life Protect+Whole Life Perform+Single Premium Whole Life InsuranceChildren's Whole Life InsuranceAssurity Universal Life InsuranceAssurity Fixed Deferred AnnuityCentury+ Disability Income InsuranceIncome Protection+ Long-Term Disability Income InsuranceAssurity Critical Illness InsuranceAccidental Death Insurance PlusAssurity Accident InsuranceGroup Term Life InsuranceGroup Critical Illness InsuranceGroup Whole Life Insurance
1
Call Assurity Customer Connections at 800-869-0355, Ext. 4279 (Monday-Thursday 7:00 a.m.-6:30 p.m. CT, Friday 7:00 a.m.-5:00 p.m. CT)
2
Provide your information to the representative:
  • Your policy or certificate number and personal identification
  • Request the Beneficiary Designation form (form 18-612-05055)
3
A representative will send you the form; the completed form still has to be returned by fax, secure email or mail

Required Documents

  • Beneficiary Designation form (form 18-612-05055), completed
  • Insured's name and the policy or certificate number
  • Beneficiary's full name (for each primary, contingent and tertiary beneficiary)
  • Beneficiary's date of birth
  • Beneficiary's SSN or TIN
  • Beneficiary's relationship to the insured and address
  • Full name of the trust, date of the trust, trustee name(s) and the trustee's full address (when naming a trust)
  • Trust Tax ID (when naming a trust)
  • Corporate resolution or similar document listing the officers authorized to sign (if the owner is a company)
  • Power of attorney, guardianship or conservatorship documentation (if a power of attorney, guardian or conservator signs)
  • Policy or certificate number and personal identification (when calling for the form)

What Assurity says about beneficiaries and trusts

Each section is Assurity's own statement, with the document it comes from numbered under Sources.

Who can be named3

A trust

A trust can be named in any tier: primary, contingent or tertiary.1

A trust created by a will

A trust created by the insured's will is named by listing the designation as "Testamentary Trust". Proceeds are then paid to the trustee (or successor) named in that trust.1

A trust, annuitys

For annuity contracts, Assurity accepts a trust as beneficiary.2

A trust, health, long-term care or disability policys

Disability income, critical illness, accident and group products do not support trust beneficiary designations, because benefits are paid to the insured during their lifetime.2

A class of people, such as "my children"

Children who are beneficiaries but are not named individually are read as all living and future children born to or adopted by the insured. Stepchildren are not included unless named.2

How many beneficiaries, and how shares are split

All accounts

Three beneficiary tiers are supported: primary, contingent and tertiary. Each tier must total 100%, and if no percentages are entered, proceeds are paid equally within the tier.1

What a designation takes to be effective

All accounts

In community property states (AZ, CA, ID, LA, NM, NV, TX, WA, WI) spousal consent is required unless the spouse is the sole primary beneficiary. The spouse completes and signs the Spousal Consent section.1

Beneficiary forms Assurity issues1

Beneficiary Designation (form 18-612-05055)

Completed by the policy owner. Available to download.1

Return to

Fax: 1-888-255-2060

Mailing address: Assurity Life Insurance Company, P.O. Box 82533, Lincoln, NE 68501-2533

What Assurity's agreement says about beneficiaries4

Changing or revoking a designation

Submitting the form revokes all existing beneficiary designations, so every beneficiary you want to keep must be restated.1

Writing "irrevocable" after a beneficiary makes that designation irrevocable. That beneficiary must then consent in writing to later assignments, contract changes, loans, surrenders and annuity withdrawals.1

When a designation takes effect

Death proceeds are paid as shown on the acknowledged and recorded form. Where the contract conflicts with the form, the contract prevails.1

No beneficiary survives

If no named beneficiary is living or existing when the insured dies, proceeds are paid to the owner or the owner's estate.1

Online access

Beneficiary changes cannot be made over the phone or in MyAssurity; the completed form still has to be returned.2

State requirements Assurity statesMassachusetts

Massachusetts

A witness signature is required in Massachusetts only. The witness is a non-related person with no financial interest in the policy.1

Which accounts a trust can hold3

Life insurance policy

Ownership of an Assurity life policy (term, whole life, single-premium whole life, children's whole life and universal life) can be transferred to a trust, including an irrevocable life insurance trust (ILIT).3, 2

Health, long-term care or disability policy

Disability income, critical illness, accident and group products cannot be retitled to a trust, because benefits are paid to the insured during their lifetime.2

Annuity

For an annuity contract, contact Customer Connections before attempting a trust ownership change.2

Trust account forms Assurity issues1

Ownership Transfer (form 18-614-05055)

For life insurance policys. Completed by all current owners, with the trustee signing as the new owner. Available to download.3

Return to

Fax: 1-888-255-2060

Mailing address: Assurity Life Insurance Company, P.O. Box 82533, Lincoln, NE 68501-2533

What Assurity says about trust accounts2

A trust as owner of a policy

Transferring ownership does not change the beneficiary and is not an assignment. All options, benefits and beneficiary arrangements stay as they are until the new owner changes them.3

The transfer is taken subject to any policy indebtedness, any assignments Assurity has already acknowledged, and any recorded irrevocable beneficiary arrangements.3

Who signs for the trust

The trustee signs as the new owner, including the Substitute Form W-9 certification printed on page 2 of the Ownership Transfer form.3

State requirements Assurity statesMassachusetts

Massachusetts

A Massachusetts policy also needs a witness signature on the ownership transfer.3

Not in Assurity's published guidance1

  • A trust ownership procedure for annuity contracts

Sources3

SimplyTrustSimplyTrust Editorial·

Sources

Data sourced from Assurity primary sources (15 pages reviewed). How we research.

Download these Assurity instructions

Download instructions for the whole estate

A printable PDF with the steps, required documents, and contact details — verified against Assurity primary sources. Bring it to the branch or keep it beside the phone.

Assurity estate support

Customer Connections / Client Services

Home office (Lincoln, NE) — 2000 Q Street, Lincoln, NE 68503

Assurity Life Insurance Company of New York

Fax

1-888-255-2060

Hours

Monday-Thursday 7:00 AM-6:30 PM CT; Friday 7:00 AM-5:00 PM CT

Mailing address

Assurity Life Insurance Company, P.O. Box 82533, Lincoln, NE 68501-2533

Estate requests go through general customer service.

Verified Sep 2026

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