What to do when a Genworth account holder dies

Required Documents

• Proof of Loss Claimant Statement (form 44119CL, or 44119CL(UFLIC) for Union Fidelity Life), for a life insurance claimEach beneficiary completes a separate one. The blank form may be copied for other beneficiaries.
• Deferred Annuity Claim Form (form 44389DACL, or 44389DACLUFLIC for Union Fidelity Life), for an annuity claimEach beneficiary completes a separate one. The blank form may be copied for other beneficiaries.
• Certified death certificate with a final cause of deathCertified means a raised seal or a multicolored signature seal from the issuing county, city or state, with an appropriate officer's signature. A pending cause of death is not accepted.
• Copy of the certified death certificate of a deceased beneficiary, if a beneficiary has diedA copy is accepted.
• Original certified death certificate and foreign death documents, if the death occurred outside the United States or its territoriesA Death of an American Citizen Abroad document is not a substitute. Genworth may also require a foreign death questionnaire, cancelled passport, airline tickets, funeral or cremation bills and remains transport bills.
• The complete original policy, if availableA copy is not accepted. If it is lost, signing the claimant statement declares that all originals, duplicates and certificates are lost or unavailable.
• Trust name with the date of the trust, a trustee's address and the trust's TIN, if a trust is the claimantEach current trustee signs as Co-Trustee unless the trust document lets one act alone. Where the single grantor was the insured, give the trust's TIN, not the grantor's Social Security number.
• Grantor Trust Certification, or the applicable IRS W-8 series form, for a grantor trust (the certification) or a foreign trust (the W-8 form)The claim form says "a Grantor Trust Certification should be completed and returned with this claim form."
• Letters of Administration or Letters Testamentary, or a small estate affidavit, if the estate is the claimantWith the estate's TIN. If the estate qualifies as a small estate, Genworth requires "a copy of the properly prepared affidavit or other form required by the state."
• Court document appointing the custodian or guardian of the minor's property or estate, if a minor is the claimantNot required when claiming under the Uniform Transfers/Gifts to Minors Act. Genworth notes the custodian of the minor's "person" is not necessarily the custodian of the minor's estate.
• Marriage certificate, divorce decree or court name-change document, if a beneficiary's name has changed since the designationFor a change by personal preference, a court document showing the change from the birth name.
• Copy of the executed power of attorney, if signing as attorney-in-factIt must give the power to collect proceeds. Genworth's signature example: "Jane Doe by John W. Doe, Attorney-in-fact under POA dated MM/DD/YYYY."
• Funeral home assignment form, if proceeds are assigned to a funeral homeEvery designated beneficiary completes the funeral home's form, submitted before payment with a claimant statement for each beneficiary.
• Agreeing statements of the amount due, or a release of assignment, if the policy has a collateral assignmentThe beneficiary and the assignee state the amount due at the insured's death, or the assignee sends a release if already released. A bank assignee's release is signed by an officer.