
How to name beneficiaries and fund a trust at Sammons Financial
Beneficiaries are managed online. Trust paperwork is taken by mail
Estate planning with Sammons Financial policies centers on beneficiary designations—the single most important step for ensuring life insurance proceeds and annuity benefits reach the intended recipients without probate involvement. Unlike bank or brokerage accounts, insurance products are not retitled into trusts; instead, trusts are named as beneficiaries when estate tax planning or controlled distributions are needed.
Sammons Financial has 10 product types, and the estate transfer rules differ across them. Some support beneficiary designations, some can be retitled into a trust, and others pass through the estate if nothing is set up. Each is covered below.
Beneficiary form at Sammons Financial
Certification of Trust Agreement (L-3172A), North American life (for life insurance policys), Certification of Trust Agreement (7519), Midland National life (for life insurance policys), Certification of Trust (19306Z), North American annuity (for annuitys), Certification of Trust (19306Y), Midland National annuity (for annuitys), Certification of Charitable Trust (26742Z), North American annuity (for annuitys) and Certification of Charitable Trust (26742Y), Midland National annuity (for annuitys).
Open the form →- North American policies: northamericancompany.com
- Midland National policies: midlandnational.com
Required Documents
- Certification of Trust Agreement, completed (when naming a trust as beneficiary of a life policy). L-3172A for a North American policy, 7519 for a Midland National policy
- Certification of Trust, completed (when naming a trust as beneficiary of an annuity). 19306Z for a North American annuity, 19306Y for a Midland National annuity
- Certification of Charitable Trust with a completed IRS Form W-9 listing the exemption code (when a charitable trust is named on an annuity). 26742Z for a North American annuity, 26742Y for a Midland National annuity
- North American life: L-3172A (New Business Processing Center: P.O. Box 5089, Sioux Falls, SD 57117; fax 877-208-6136)
- Midland National life: 7519 (Administrative Office: One Sammons Plaza, Sioux Falls, SD 57193; fax 877-208-6136)
- North American annuity: 19306Z (P.O. Box 14432, Des Moines, IA 50306-3432)
- Midland National annuity: 19306Y (P.O. Box 10385, Des Moines, IA 50306-0385)
Required Documents
- Certification of Trust Agreement. L-3172A for North American life, 7519 for Midland National life, 19306Z for a North American annuity and 19306Y for a Midland National annuity
- Certification of Charitable Trust with a completed IRS Form W-9 (for a charitable trust on an annuity). 26742Z for North American, 26742Y for Midland National
- Trust name, tax ID number, governing state, effective date, grantors and trustees. The certification also asks for successor trustee information and the trust preparer
- Trustee signatures. With more than two trustees, a separate page carries the signatures, date and policy number
- Copy of the trust documents (if the insurer requests it)
- Corporate resolution verifying the individuals authorized to sign (for a corporate trustee)
What Sammons Financial says about beneficiaries and trusts
Each section is Sammons Financial's own statement, with the document it comes from numbered under Sources.
Which accounts take a beneficiary1
- Life insurance policy
When a trust is named, the insurer reserves the right to request and receive a copy of the trust documents if it determines that it is necessary.1, 2
Before paying proceeds at the death of the owner or insured, the insurer may require proof that the trust is then in full force and effect.1, 2
Who can be named2
What a designation takes to be effective
Beneficiary forms Sammons Financial issues6
- Certification of Trust Agreement (L-3172A), North American life
For life insurance policys. Completed by the trustees. Available to download.1
Return to
Fax: 1-877-208-6136
Mailing address: New Business Processing Center, P.O. Box 5089, Sioux Falls, SD 57117
- Certification of Trust Agreement (7519), Midland National life
For life insurance policys. Completed by the trustees. Available to download.2
Return to
Fax: 1-877-208-6136
Mailing address: Administrative Office, One Sammons Plaza, Sioux Falls, SD 57193
- Certification of Trust (19306Z), North American annuity
For annuitys. Completed by the trustees. Available to download.3
Return to
Mailing address: P.O. Box 14432, Des Moines, IA 50306-3432
- Certification of Trust (19306Y), Midland National annuity
For annuitys. Completed by the trustees. Available to download.4
Return to
Mailing address: P.O. Box 10385, Des Moines, IA 50306-0385
- Certification of Charitable Trust (26742Z), North American annuity
For annuitys. Available to download.5
- Certification of Charitable Trust (26742Y), Midland National annuity
For annuitys. Available to download.6
Which accounts a trust can hold2
- Life insurance policy
The Certification of Trust Agreement is used for a new application owned by a trust, a change of ownership of an existing policy to or from a trust, a change of trustee, and naming a trust as beneficiary.1, 2
An incomplete life certification form is returned unprocessed.1, 2
- Annuity
The Certification of Trust is used for a new annuity application owned by a trust, a change of ownership to a trust, a change of trustee, naming a trust as beneficiary, and a claimant statement for death claim proceeds.3, 4
The company only accepts trusts acting as an agent for natural persons and for the sole benefit of those persons.3, 4
Trust account forms Sammons Financial issues6
- Certification of Trust Agreement (L-3172A), North American life
For life insurance policys. Completed by the trustees. Available to download.1
Return to
Fax: 1-877-208-6136
Mailing address: New Business Processing Center, P.O. Box 5089, Sioux Falls, SD 57117
- Certification of Trust Agreement (7519), Midland National life
For life insurance policys. Completed by the trustees. Available to download.2
Return to
Fax: 1-877-208-6136
Mailing address: Administrative Office, One Sammons Plaza, Sioux Falls, SD 57193
- Certification of Trust (19306Z), North American annuity
For annuitys. Completed by the trustees. Available to download.3
Return to
Mailing address: P.O. Box 14432, Des Moines, IA 50306-3432
- Certification of Trust (19306Y), Midland National annuity
For annuitys. Completed by the trustees. Available to download.4
Return to
Mailing address: P.O. Box 10385, Des Moines, IA 50306-0385
- Certification of Charitable Trust (26742Z), North American annuity
For annuitys. Available to download.5
- Certification of Charitable Trust (26742Y), Midland National annuity
For annuitys. Available to download.6
What Sammons Financial says about trust accounts1
Accounts handled elsewhere2
- North American Company for Life and Health Insurance
Issues the North American life policies and annuities7
- Midland National Life Insurance Company
Issues the Midland National life policies and annuities8
Sources8
- 1.Certification of Trust Agreement (L-3172A)
- 2.Certification of Trust Agreement (7519)
- 3.Certification of Trust Agreement (19306Z), REV 5-26
- 4.Certification of Trust Agreement (19306Y), REV 5-26
- 5.Certification of Charitable Trust (26742Z), REV 5-26
- 6.Certification of Charitable Trust (26742Y), REV 5-26
- 7.North American: Services
- 8.Midland National: Services
Sources
Data sourced from Sammons Financial primary sources (21 pages reviewed). How we research.
Download these Sammons Financial instructions
Download instructions for the whole estateA printable PDF with the steps, required documents, and contact details — verified against Sammons Financial primary sources. Bring it to the branch or keep it beside the phone.
Sammons Financial estate support
North American Customer Service
Phone
North American life insurance (international)
North American annuity
North American annuity (international)
Midland National life insurance
Midland National annuity
Hours
Mailing address
Website
Estate requests go through general customer service.
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