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What to do when a Sammons Financial account holder dies

Report the death to Sammons Financial's Life Claims at 1-800-733-2524

Filing a death claim on a Sammons Financial policy begins with notifying the Life Claims at 1-800-733-2524. Life insurance claims are separate from probate—proceeds transfer directly to named beneficiaries regardless of whether the estate goes through court. The timeline and documentation requirements depend on the policy type and cause of death.

Death claim process

To file a claim after an account holder's death, here is what Sammons Financial requires:

Filing a claim

1
Report the death online or by phone.
2
A claim packet is mailed in approximately five calendar days after the initial notification. The claim forms are also posted on each company's life-claim-forms and annuity-claim-forms pages.
3
Complete the claim forms.
  • Life: Claimant Statement (O-2818-1 North American, 3864-1 Midland National), with instructions O-2816-2 / 13945-2. Each beneficiary completes their own claimant statement.
  • Life forms with whiteout are not accepted; correct an error, then initial and date the change.
  • Annuity: claimant statement (14497Z North American, 14497Y Midland National), completed by the beneficiary.
4
Provide a death certificate with cause and manner of death.
  • Life claims: only one beneficiary needs to supply it when there are multiple beneficiaries.
  • A copy is acceptable if the total amount of all claims is less than $500,000 and the death occurred within the United States. The company reserves the right to require an original.
  • Original death certificates submitted are not returned.
  • Life claims: contestable and foreign claims require an original certified death certificate.
  • Annuity claims: the Claims FAQs say the claim letter states whether an original or a copy is required.
  • Annuity claims: a foreign claim requires an original death certificate issued by the country where the death occurred.
5
Add the documents for the type of beneficiary.
  • Trust: completed Certification of Trust (L-3172A North American life, 7519 Midland National life, 19306Z North American annuity, 19306Y Midland National annuity).
  • Life proceeds of $250,000 or more payable to a trust also require a notarized Generation-Skipping Transfer Tax Release (O-2797 North American, 12973 Midland National).
  • A charitable trust on an annuity uses the Certification of Charitable Trust (26742Z / 26742Y) with a completed IRS Form W-9 showing the exemption code.
  • Estate: a court certificate of appointment. On a life claim the executor or administrator completes the claimant statement and provides a separate Tax Identification Number for the estate.
  • Power of attorney: Certificate of Power of Attorney (O-2876 / 19656 life, 19656Z / 19656Y annuity).
  • Surviving children designation: Affidavit of Surviving Children (O-2794 / 6506 life, notarized, from one surviving child; 11734Z / 11734Y annuity).
  • Death outside the United States: the foreign death certificate, the Foreign Death Questionnaire, and a Report of Death of an American Citizen Abroad.
  • Life claims for a death outside the United States also require Claimant Statement Part II and a HIPAA authorization.
6
Life claims: choose a settlement option on the claimant statement: lump sum by check or ACH, lump sum via an Access Account (minimum $15,000), interest option, installment option, or life income option.
7
Annuity claims: choose one settlement option (A-E) on the claimant statement.
  • A. Spousal continuance: available only to the deceased owner's spouse who is the sole primary beneficiary; the spouse becomes the new owner of the contract.
  • B. Lump sum by ACH, by check, or via an access account (minimum $15,000); the W-4P form is not required.
  • C. Annuity payment plan (income for a specified period, life annuity, life annuity with period certain, or income for a specified amount); return the W-4P form.
  • D. Non-qualified stretch: payout over the beneficiary's life expectancy on a non-qualified contract.
  • E. Inherited IRA: set up with the issuing company (new business paperwork), or with an external company (a transfer form and letter of acceptance).
8
Submit documents by email to claims@sfgmembers.com (life claims), by fax (life claims 877-841-6706; annuity claims 877-586-0249), or by mail to the address on the claim instructions or Claims FAQs.
9
After the final requirement is received, the processing goal is 10 calendar days. Processing may be extended if additional review or documentation is required.

Required Documents

  • Death certificate with cause and manner of deathLife: a copy is acceptable when all claims total less than $500,000 and the death occurred in the United States. Annuity: the claim letter states whether an original or a copy is required.
  • Original certified death certificate, on a contestable or foreign life claimOriginal death certificates submitted are not returned.
  • Original death certificate issued by the country where the death occurred, on a foreign annuity claimAn original death certificate is not returned.
  • Completed claimant statementO-2818-1 North American life, 3864-1 Midland National life, 14497Z North American annuity, 14497Y Midland National annuity.
  • Certification of Trust, if a trust is the beneficiaryL-3172A North American life, 7519 Midland National life, 19306Z North American annuity, 19306Y Midland National annuity.
  • Notarized Generation-Skipping Transfer Tax Release (O-2797 / 12973), if life proceeds of $250,000 or more are payable to a trustO-2797 North American, 12973 Midland National.
  • Certification of Charitable Trust (26742Z / 26742Y) and IRS Form W-9, if a charitable trust is the beneficiary of an annuityThe completed Form W-9 shows the exemption code.
  • Court certificate of appointment, if proceeds are payable to the estateOn a life claim the executor or administrator completes the claimant statement and provides a separate Tax Identification Number for the estate.
  • Certificate of Power of Attorney, for a power of attorneyO-2876 / 19656 for life claims, 19656Z / 19656Y for annuity claims.
  • Affidavit of Surviving Children, for a surviving children designationLife forms O-2794 / 6506, notarized, from one surviving child. Annuity forms 11734Z / 11734Y.
  • Foreign Death Questionnaire and Report of Death of an American Citizen Abroad, if the death occurred outside the United StatesSent with the foreign death certificate. Life claims also require Claimant Statement Part II and a HIPAA authorization.
  • IRS Form W-4P, if the annuity payment plan (Settlement Option C) is electedNot required for a lump sum.

Claims Contact

Forms Sammons Financial issues9

What happens to each kind of account1

Annuity

The deceased owner's spouse, if the sole primary beneficiary, may continue the contract and becomes its new owner. The other settlement options are a lump sum, an annuity payment plan, a non-qualified stretch over the beneficiary's life expectancy, and an inherited IRA.3, 4

An inherited IRA is set up with the issuing company, using new business paperwork, or with an external company, using a transfer form and letter of acceptance.3, 4

What Sammons Financial's agreement and guidance say2

How proceeds are paid

Life proceeds are paid under the settlement option chosen on the claimant statement: a lump sum by check or ACH, a lump sum via an Access Account (minimum $15,000), an interest option, an installment option, or a life income option.10, 1, 11

An annuity lump sum is paid by ACH, by check, or via an access account (minimum $15,000).3, 4

Payment to a minor or incapacitated beneficiary

On a life claim, if legal guardianship is not established for a minor beneficiary, the company holds the proceeds at interest until the minor reaches the age of majority.12

Sources12

Download instructions for the whole estate

The processing goal is 10 calendar days after the final requirement is received. It may be extended if additional review or documentation is required.

Sammons Financial's Life Claims can be reached by phone at 1-800-733-2524, email at claims@sfgmembers.com, and fax at 1-877-841-6706 for questions throughout the claims process.

SimplyTrustSimplyTrust Editorial·

Sources

Data sourced from Sammons Financial primary sources (39 pages reviewed). How we research.

Sammons Financial death claims support

Life Claims (North American and Midland National)

Life claims (international)

Annuity claims

Annuity claims (international)

Annuity claims fax

1-877-586-0249

Fax

1-877-841-6706

Hours

Monday-Thursday 7:30 AM-5:00 PM CT; Friday 7:30 AM-12:30 PM CT

Mailing address

Life claims: One Sammons Plaza, Sioux Falls, SD 57193 | North American annuity claims: P.O. Box 14432, Des Moines, IA 50306-3432 | Midland National annuity claims: P.O. Box 10385, Des Moines, IA 50306-0385
Verified Sep 2026

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