
How to name beneficiaries and fund a trust at Physicians Mutual
Beneficiaries are managed by mail. Trust paperwork is taken by mail
For Physicians Mutual 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 10 product types, Physicians Mutual 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 Physicians Mutual
Change of Beneficiary Designation for Life and Health Policies (form LX14, Rev. 0520).
Open the form →- Enter the policyowner name, the insured name if different, and the policy number
- List each primary beneficiary with name, address, date of birth, phone, relationship, and percent allocation; allocations must total 100 percent
- List contingent beneficiaries the same way, also totaling 100 percent
- In California and Illinois the form also asks for each beneficiary's Social Security number
- To name a beneficiary irrevocably, write "irrevocable" after that beneficiary's name; an irrevocable beneficiary cannot later be changed without their written consent
- Write the trust name and its execution date, in the form's own example format: "John Doe, Trust, dated May 1, 2014"
- Attach a copy of the trust that includes the powers and limitations of the trustee, the date executed, and the signature page
- The policyowner signs; the insured also signs if the insured is a different person
- The form has a signature line for an irrevocable beneficiary, if applicable; an irrevocable beneficiary cannot be changed without that beneficiary's written consent
- If someone other than the owner requests the change, attach a copy of the legal documents granting that authority
Required Documents
- Policyowner name, insured name and policy number. The insured name is entered where the insured is a different person from the owner
- Each beneficiary's name and address (for every primary and contingent beneficiary)
- Each beneficiary's date of birth (for every primary and contingent beneficiary)
- Each beneficiary's phone number and relationship (for every primary and contingent beneficiary)
- Percent allocation for each beneficiary (for every primary and contingent beneficiary)
- Each beneficiary's Social Security number (in California and Illinois)
- Trust name and execution date (when a trust is named as primary beneficiary). Written in the form's own example format: "John Doe, Trust, dated May 1, 2014"
- Copy of the trust (when a trust is named as primary beneficiary). Including the powers and limitations of the trustee, the date executed and the signature page
- Organization's name (when naming an organization). List the organization's name rather than a person at the organization
- Copy of the legal documents granting authority (if someone other than the owner requests the change)
- Download form LX14, Change of Beneficiary Designation for Life and Health Policies, from the forms page
- Write the trust as the form shows: trust name plus execution date, as in "John Doe, Trust, dated May 1, 2014"
- Attach a copy of the trust including the powers and limitations of the trustee, the date executed, and the signature page
- Mail to Physicians Mutual Insurance Company / Physicians Life Insurance Company, Customer Service, PO Box 3272, Omaha, NE 68103-0272
- Download form LX511, Ownership Change Request for Life Policies (Absolute Assignment), from the same forms page
- Enter the current policyowner, contingent owner, insured, and policy number, then the new owner with address, phone, and relationship to the insured
- Where the owner is a trust, all trustees sign as authorized by the trust documentation
- Attach the title pages of the trust (full name of the trust, date of the trust, trustee names), the powers of the trustees, and the signatory pages
- The form carries a Medicaid Acknowledgment checkbox for an ownership change made due to Medicaid
- To change the beneficiary as well, complete the Primary and Contingent Beneficiary sections of LX511
- A current irrevocable beneficiary must also sign; in a community property state, the original owner's spouse signs
- Mail to Physicians Life Insurance Company, Life Customer Service, PO Box 3313, Omaha, NE 68103-0313
Required Documents
- Copy of the trust (to name the trust as primary beneficiary on form LX14). Including the powers and limitations of the trustee, the date executed and the signature page
- Title pages of the trust (to make the trust the policyowner on form LX511). Showing the full name of the trust, the date of the trust and the trustee names
- Powers of the trustees (to make the trust the policyowner on form LX511)
- Signatory pages of the trust (to make the trust the policyowner on form LX511)
- Copy of the legal documents granting authority (if someone other than the owner requests an LX14 change)
What Physicians Mutual says about beneficiaries and trusts
Each section is Physicians Mutual's own statement, with the document it comes from numbered under Sources.
Who can be named2
- A trust
A trust can be named as primary beneficiary, written as the trust name and its execution date, with a copy of the trust attached.1
- A business
Physicians Mutual recommends against naming a funeral home as primary beneficiary. Where one is named, company policy requires a contingent beneficiary; the funeral home is paid only to the extent of its interest and the remainder goes to the contingent beneficiary.1
How many beneficiaries, and how shares are split
- All accounts
Percentage allocations must total 100 percent among the primary beneficiaries, and again among the contingent beneficiaries.1
What a designation takes to be effective
Beneficiary forms Physicians Mutual issues1
- Change of Beneficiary Designation for Life and Health Policies (form LX14, Rev. 0520)
Completed by the policyowner. Available to download.1
Return to
Mailing address: Physicians Mutual Insurance Company / Physicians Life Insurance Company, Customer Service, PO Box 3272, Omaha, NE 68103-0272
What Physicians Mutual's agreement says about beneficiaries4
- Changing or revoking a designation
Beneficiary changes are made by mail on form LX14. Physicians Mutual does not accept them online or over the phone.2
To name a beneficiary irrevocably, the owner writes "irrevocable" after that beneficiary's name. An irrevocable beneficiary cannot be changed without that beneficiary's written consent.1
- A minor as beneficiary
Death proceeds cannot be paid to a minor child. Physicians Mutual requires a trust or a guardianship to be in place for a minor to receive proceeds, and discourages naming minors as primary beneficiaries.1
- What the owner keeps while living
Form PMA2436 pledges a policy as collateral without transferring it outright, and reserves to the owner the right to designate and change the beneficiary.3
- Changing the owner of a policy or account
The guidelines sent with form LX511 say Physicians Mutual does not allow ownership changes involving entities such as corporations, LLPs or investors.4
State requirements Physicians Mutual statesMaryland, Michigan, Montana, New Jersey, Oklahoma, Pennsylvania, South Dakota, Texas, West Virginia
- Maryland
In Maryland, a funeral home cannot be named as beneficiary.1
- Michigan
In Michigan, a funeral home cannot be named as beneficiary.1
- Montana
In Montana, a funeral home cannot be named as beneficiary.1
- New Jersey
In New Jersey, a funeral home cannot be named as beneficiary.1
- Oklahoma
In Oklahoma, a funeral home cannot be named as beneficiary.1
- Pennsylvania
In Pennsylvania, a funeral home cannot be named as beneficiary.1
- South Dakota
In South Dakota, a funeral home cannot be named as beneficiary.1
- Texas
In Texas, a funeral home cannot be named as beneficiary.1
- West Virginia
In West Virginia, a funeral home cannot be named as beneficiary.1
Which accounts a trust can hold1
Trust account forms Physicians Mutual issues2
- Change of Beneficiary Designation for Life and Health Policies (form LX14), to name a trust as primary beneficiary
Available to download.1
Return to
Mailing address: Physicians Mutual Insurance Company / Physicians Life Insurance Company, Customer Service, PO Box 3272, Omaha, NE 68103-0272
- Ownership Change Request for Life Policies (Absolute Assignment) (form LX511, Rev. 0520C)
For life insurance policys. Available to download.4
Return to
Mailing address: Physicians Life Insurance Company, Life Customer Service, PO Box 3313, Omaha, NE 68103-0313
What Physicians Mutual says about trust accounts3
- Who signs for the trust
Where the owner is a trust, form LX511 requires the signature of all trustees as authorized by the trust documentation.4
- A trust as owner of a policy
Outside juvenile life policies, a change of ownership does not change the beneficiary designation on file, so the death benefit stays with the existing beneficiary unless the LX511 beneficiary sections are also completed. On juvenile life policies the new owner becomes the beneficiary unless they name someone else.4
The new owner is responsible for the premium.4
- Automatic payments and direct deposits
A change of ownership revokes existing automatic payments.4
Not in Physicians Mutual's published guidance1
- An online way to name a beneficiary
Sources
Data sourced from Physicians Mutual primary sources (25 pages reviewed). How we research.
Download these Physicians Mutual instructions
Download instructions for the whole estateA printable PDF with the steps, required documents, and contact details — verified against Physicians Mutual primary sources. Bring it to the branch or keep it beside the phone.
Physicians Mutual estate support
Customer Service (Physicians Mutual / Physicians Life, beneficiary and ownership changes)
Phone
Hours
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