
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 →- 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
- 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
- Identify yourself with the Ethos policy number and personal identification
- Ask for the change-of-beneficiary form for your specific policy; Ethos routes the request to the issuing carrier, which supplies its own form and its own return address
- Protective lists this number specifically for contracts "Issued by Liberty/Lincoln and administered by Protective Life," at P.O. Box 12687, Birmingham, AL 35202-6687
- Provide the contract number and personal identification and ask for the Beneficiary Change Request form, or download it directly (the by-mail steps link it)
- For a variable life contract call 1-800-265-1545 (vulservice@protective.com); for an annuity contract call 1-800-456-6330 (annuityservice@protective.com)
- Request it through the Ethos account or from Ethos support at support@ethoslife.com / (888) 384-6754
- Complete the carrier's fields: policy number, insured name, owner information if different, and full legal names, relationships, and percentage allocations for every beneficiary
- For a trust: the full legal trust name, the date established, and the trust EIN
- Sign, date, and return it to the address the issuing carrier gives
- Ethos's own mailing address is 1606 Headway Circle #9013, Austin, TX 78754, but a beneficiary change has to reach the carrier that holds the contract
- Complete Section 1 (Insured/Annuitant) and Section 2 (Owner, if different), including birth date, addresses, telephone, Social Security number, and email
- Section 4 holds seven beneficiary slots. For each, tick Primary or Contingent, enter the percentage and the relationship to the insured
- For each beneficiary give the name or entity name, birth or trust date, addresses, telephone, and Social Security or Tax ID number
- The form changes only the beneficiaries listed on it; list every contingent beneficiary you want to keep
- To make a beneficiary irrevocable, tick the Irrevocable box; that beneficiary must then sign the form
- Sign in Section 7. The owner signature line expressly accommodates an Executor, Administrator, attorney-in-fact under a Power of Attorney, or Trustee signing as owner
- Spouse or domestic partner signature is required in AZ, CA, ID, LA, NV, NM, TX, WA, and WI; a witness signature by a third-party disinterested adult is required in MA only
- Mail to Liberty Life Assurance Company of Boston, Service Center, 100 Liberty Way, Dover, NH 03820, or fax to (603) 749-9759. Protective also services these contracts
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
- Ethos-placed policy: the issuing carrier supplies its own trust paperwork; start at ethos.com/contact-us or (888) 384-6754
- Legacy Liberty Life contract: Protective Life, 1-800-866-9933, using the Liberty Life PLA forms below
- State whether you want the trust named as beneficiary or want the trust to own the policy, because they are different transactions with different forms
- Provide the full legal trust name, the date established, and the trust EIN
- Ethos routes the request to the issuing carrier (Banner Life, Protective Life, North American, TruStage, or Ameritas), which supplies its own trust forms and processes the change
- Ask for the ownership change form if the trust is to own the contract, or use the Beneficiary Change Request if the trust is only to be named beneficiary
- Provide the full legal trust name, the date established, and the trust EIN
- Return the signed forms with the trust documentation to Liberty Life Assurance Company of Boston, Service Center, 100 Liberty Way, Dover, NH 03820 (fax (603) 749-9759)
- Protective also takes them at P.O. Box 12687, Birmingham, AL 35202-6687
- Online: enter the full legal trust name, the date established, and the trust EIN in the beneficiary section
- By mail: complete the issuing carrier's own trust or beneficiary form with the trust name, EIN, and trustee information, and send it to the address that carrier gives
- The Beneficiary Change Request (PLA-2005143) names the trust as beneficiary
- On it, enter the trust as an entity name with its trust date and Tax ID number in a Section 4 slot
- The Trust Certification (PLA-2005006 Rev 10/14) certifies trustee authority to own it
- The Verification of Trust (PLA-2005006 Rev 1/05) is the older certification
- The Verification of Trust is signed by settlors as well as trustees plus a witness
Required Documents
- Full legal trust name, date established and trust EIN (TIN)
- Contract or policy number and the insured or annuitant's name
- Grantor and trustee names with trustee addresses. The Trust Certification takes contract numbers, trust name and date, grantor names, trust TIN, and up to two trustees with addresses
- Liberty Life Trust Certification or Verification of Trust (for a legacy contract to be owned by a trust). Either the Trust Certification (PLA-2005006 Rev 10/14) or the Verification of Trust (PLA-2005006 Rev 1/05) is taken. Both take a witness signature; the Verification of Trust also takes settlor or grantor signatures
- The issuing carrier's own trust and beneficiary forms (for a policy placed through Ethos)
- Trust EIN documentation (IRS Letter 147C or SS-4 confirmation)
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
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
- 1.Liberty Mutual guidance on which company holds a contract
- 2.Ethos account
- 3.Beneficiary Change Request, form PLA-2005143 Rev 07/15 (Liberty Life Assurance Company of Boston)
- 4.Ethos contact page
- 5.Protective Life contact page
- 6.Trust Certification, form PLA-2005006 Rev 10/14 (Liberty Life Assurance Company of Boston)
- 7.Verification of Trust, form PLA-2005006 Rev 1/05 (Liberty Life Assurance Company of Boston)
Sources
Show 2 more sourcesShow fewer sources
Data sourced from Liberty Mutual primary sources (15 pages reviewed). How we research.
Download these Liberty Mutual instructions
Download instructions for the whole estateA 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
Phone
Toll-free
Ethos customer support (new policies)
Protective variable life customers
Liberty Life Assurance Service Center fax (legacy forms)
Fax
Mailing address
Website
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