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Liberty Mutual

Subsidiary of Liberty Mutual Holding Company, Inc.

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How to name beneficiaries and fund a trust at Liberty Mutual

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

Beneficiary designations are the foundation of estate planning for Liberty Mutual policies. Unlike bank accounts, insurance products cannot be retitled into a trust. Instead, the beneficiary designation itself determines who receives the proceeds and how quickly they're paid. Naming a trust as beneficiary is an option when more control over distributions is needed.

Liberty Mutual offers 8 policies, each with its own transfer rules. The sections below cover how to set up beneficiaries, fund a trust, and which products support each approach.

Beneficiary form at Liberty Mutual

Beneficiary Change Request, form PLA-2005143 Rev 07/15 and The issuing carrier's change-of-beneficiary form.

Open the form →
Term Life Insurance (via Ethos)Whole Life Insurance (via Ethos)Guaranteed Acceptance Whole Life Insurance (via Ethos)Liberty Life Assurance Term Life Insurance (Legacy)Liberty Life Assurance Whole and Universal Life Insurance (Legacy)Liberty Life Assurance Annuity Contracts (Legacy)Auto InsuranceHomeowners, Condo, and Renters Insurance
1
New policies placed through the Ethos partnership: sign in to the Ethos account
  • Confirm first which carrier issued the policy (Banner Life, Protective Life, North American, TruStage, or Ameritas): it is named on the policy documents
  • The carriers are listed at ethos.com/carriers; the issuing carrier is the entity that records the change
  • Provide primary and contingent beneficiaries with percentage allocations totalling 100%
  • To name a trust, provide the full legal trust name, the date the trust was established, and the trust EIN
  • The change is effective once the issuing carrier records it, not when it is entered at Ethos
2
Legacy individual policies (issued by Liberty Life Assurance Company of Boston before 2018, now administered by Protective Life): use the Protective online account
  • The account is reachable from the "Manage my account" and "Log in or register" links on protective.com/contact
  • Register or log in to the Protective account, then locate the policy you want to change
  • Select "I want to" and then "Change My Beneficiaries", the self-service path Protective documents in its own account FAQ
  • If the contract does not appear online, call 1-800-866-9933 (the "Issued by Liberty/Lincoln and administered by Protective Life" service line) and use the paper form instead

Required Documents

  • Primary and contingent beneficiaries with percentage allocations totalling 100%
  • Full legal trust name, date established and trust EIN (for a trust)
  • Policy or contract number and personal identification (by phone)
  • Policy number, insured name and owner information if different (on an Ethos carrier's form)
  • Insured or annuitant and owner details (on the Liberty Life Beneficiary Change Request (Sections 1 and 2)). Birth date, addresses, telephone, Social Security number, and email
  • Each beneficiary's details (on the Liberty Life Beneficiary Change Request (Section 4)). Name or entity name, birth or trust date, addresses, telephone, Social Security or Tax ID number, the relationship to the insured, and the percentage

What Liberty Mutual says about beneficiaries and trusts

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

Which accounts take a beneficiary1

Auto, home or renters policy

There is no beneficiary on an auto, home, condo or renters policy.1

Who can be named3

A trust

A trust can be named; provide the full legal trust name, the date the trust was established and the trust EIN.2, 3

An entity other than a trust or a business

The Liberty Life form takes an entity as beneficiary, giving the entity name, its date, addresses, telephone and Tax ID number.3

A class of people, such as "my children"

Beneficiaries can be named as unnamed members of a class. The Liberty Life form accepts an affidavit signed by a surviving member of the class, stating that the persons named in it are the sole surviving members, as sufficient proof.3

How many beneficiaries, and how shares are split

All accounts

Primary and contingent beneficiaries are named with percentage allocations totalling 100%.2

The Liberty Life form holds seven beneficiary slots, each marked primary or contingent with a percentage. The form states that all designated beneficiaries are treated as primary sharing equally unless you indicate otherwise.3

What a designation takes to be effective

All accounts

Only the policy owner can change a beneficiary. The Liberty Life form's owner signature line expressly accommodates an executor, administrator, attorney-in-fact under a power of attorney, or trustee signing as owner.3

An irrevocable beneficiary must sign the form, and their written consent is required for most later loans, withdrawals, surrenders, or removal.3

Beneficiary forms Liberty Mutual issues2

Beneficiary Change Request, form PLA-2005143 Rev 07/15

Completed by the policy owner, for a legacy Liberty Life individual life or annuity contract. Available to download.3

Return to

Fax: 1-603-749-9759

Mailing address: Liberty Life Assurance Company of Boston, Service Center, 100 Liberty Way, Dover, NH 03820

The issuing carrier's change-of-beneficiary form

Completed by the policy owner, for a policy placed through Ethos. Sent by the institution on request.4

What Liberty Mutual's agreement says about beneficiaries2

Changing or revoking a designation

The Liberty Life Beneficiary Change Request changes only the beneficiaries listed on it. Its own example is that changing the primary beneficiaries alone "will not revoke any prior contingent beneficiary(ies) designations".3

The form notes that the right to change beneficiaries may be limited if the owner lives in, or the contract was issued in, a community property state.3

When a designation takes effect

On the Liberty Life form the designation takes effect as of the date signed but is "not binding until it is received and acknowledged by the Company," subject to any payment made or action taken before receipt.3

For a policy placed through Ethos, the change is effective once the issuing carrier records it, not when it is entered at Ethos.2

State requirements Liberty Mutual statesArizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington, Wisconsin, Massachusetts

Arizona

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

California

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Idaho

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Louisiana

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Nevada

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

New Mexico

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Texas

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Washington

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Wisconsin

The spouse or domestic partner signs the Liberty Life Beneficiary Change Request.3

Massachusetts

A third-party disinterested adult signs the Liberty Life Beneficiary Change Request as witness.3

Which accounts a trust can hold1

Life insurance policy

A trust can own a legacy Liberty Life contract. The Trust Certification, or the older Verification of Trust, certifies the trustees' authority for ownership.6, 7

Trust account forms Liberty Mutual issues3

Trust Certification, form PLA-2005006 Rev 10/14

For life insurance policys. Completed by the trustees, with a witness. Available to download.6

Return to

Fax: 1-603-749-9759

Mailing address: Liberty Life Assurance Company of Boston, Service Center, 100 Liberty Way, Dover, NH 03820

Verification of Trust, form PLA-2005006 Rev 1/05

For life insurance policys. Completed by the settlors and the trustees, with a witness. Available to download.7

Return to

Fax: 1-603-749-9759

Mailing address: Liberty Life Assurance Company of Boston, Service Center, 100 Liberty Way, Dover, NH 03820

The issuing carrier's trust forms

Completed by the trustees, for a policy placed through Ethos. Sent by the institution on request.4

What Liberty Mutual says about trust accounts3

A trust as owner of a policy

A trust can be named as beneficiary of the policy or can own it. They are different transactions with different forms.4

For a new contract, the trustee certifies that beneficial interests under the trust are held only by persons related to the insured by blood or law, with a substantial insurable interest, or with a lawful and substantial economic interest in the insured's continued life.6

For a new contract, the trustee also certifies that ownership has not been and will not be transferred outside that group.6

On the Verification of Trust, the settlors and trustees certify that a valid trust has been established and that the trustees have authority under applicable law to purchase the policy on their sole signatures.7

Who signs for the trust

The Trust Certification asks you to select one of "Any trustee independently", "All trustees jointly", or "A trustee majority" for exercising ownership rights. That election decides whether one trustee can later change the beneficiary, take a loan, or surrender the policy without the others.6

The Trust Certification and the Verification of Trust both take a witness signature; the Verification of Trust also takes settlor or grantor signatures.6, 7

Review of the trust document

On the Liberty Life forms the trustees agree that the company may assume the trust is in effect and unamended until written notice to the contrary is approved at the Home Office, and that the company is not charged with knowledge of the trust terms beyond what is on the form and is held harmless from interpreting them.6, 7

The trustees also agree that the company gave no legal or tax advice, and that payment to the trustees fully discharges it.6, 7

Accounts handled elsewhere3

Ethos

Policies placed through the Ethos partnership, recorded by the issuing carrier named on the policy4

Phone: 1-888-384-6754

Email: support@ethoslife.com

Mailing address: 1606 Headway Circle #9013, Austin, TX 78754

Protective Life

Individual life and annuity contracts issued by Liberty Life Assurance Company of Boston before 20185

Phone: 1-800-866-9933

Mailing address: Protective Life, P.O. Box 12687, Birmingham, AL 35202-6687

Lincoln Financial Group

Group life certificates through an employer1

Sources7

SimplyTrustSimplyTrust Editorial·

Sources

Show 2 more sources

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

Download these Liberty Mutual instructions

Download instructions for the whole estate

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

Liberty Mutual estate support

Protective Life policy service

Ethos customer support (new policies)

1-888-384-67548:00AM-6:00PM CST

Protective variable life customers

Liberty Life Assurance Service Center fax (legacy forms)

1-603-749-9759

Fax

1-603-749-9759

Mailing address

Protective Life, P.O. Box 12687, Birmingham, AL 35202-6687
Verified Sep 2026

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