Policy Change - Use this form to record legal name changes, and to correct spelling, date of birth, and gender information on your policy. Each of these changes will require additional legal documentation. For more information about the documentation needed, call Customer Service at 1-800-518-8884.
When you click the submit button below, a PDF (Portable Document Format) will be created. Please download the document, print it, review and sign it, and then mail it to the address provided on the PDF. You may be asked to attach copies of documentation.