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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 →
Physicians Mutual Term Life InsurancePhysicians Mutual High Benefit Term Life InsurancePhysicians Mutual Whole Life InsurancePhysicians Mutual Modified Whole Life InsurancePhysicians Mutual Children's Whole Life InsurancePhysicians Mutual Dental InsurancePhysicians Mutual Medicare Supplement InsurancePhysicians Mutual Cancer InsurancePhysicians Mutual Accident InsurancePhysicians Mutual Pet Insurance
1
Download form LX14, Change of Beneficiary Designation for Life and Health Policies, from the Physicians Mutual forms page (listed as "Beneficiary Form")
2
Complete the policyowner and beneficiary sections:
  • 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
3
If a trust is named as primary beneficiary, name it the way the form shows and attach the trust:
  • 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
4
Sign the form:
  • 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
5
Mail the completed LX14 to Physicians Mutual Insurance Company / Physicians Life Insurance Company, Customer Service, PO Box 3272, Omaha, NE 68103-0272. This is a different PO Box from the claims address

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)

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

All accounts

The policyowner signs the form, and the insured also signs if the insured is a different person.1

The form has a signature line for an irrevocable beneficiary, where there is one.1

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

Life insurance policy

A trust can be named as primary beneficiary of a policy on form LX14, or made the owner of a life policy by absolute assignment on form LX511. The two forms go to different addresses.1, 4

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

Sources4

SimplyTrustSimplyTrust Editorial·

Sources

Data sourced from Physicians Mutual primary sources (25 pages reviewed). How we research.

Download these Physicians Mutual instructions

Download instructions for the whole estate

A 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)

Hours

Monday-Friday 8:00 AM-5:00 PM CT

Mailing address

Change of Beneficiary (form LX14): Physicians Mutual / Physicians Life Insurance Company, Customer Service, PO Box 3272, Omaha, NE 68103-0272. Ownership Change / absolute assignment (form LX511): Physicians Life Insurance Company, Life Customer Service, PO Box 3313, Omaha, NE 68103-0313.
Verified Jul 2026

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