Rates & Plan Information

Cancellations are allowed at anytime. 

To cancel coverage, complete the Life Policy Service Request form and submit via secure file upload here.

Complete the Non-Smoker Statement form and submit via secure file upload here.

Complete the Change of Beneficiary Request form and submit via secure file upload here.

Complete the Life Policy Service Request form and submit via secure file upload here.

Complete the Life Policy Service Request form and submit via secure file upload here.

For use by policyholders who are currently on direct billing via monthly automatic payments with Allstate and need to make one of the following changes:

• Change bank account
• Correct bank account
• Change the date of their withdrawal

Complete the Authorization for Recurring Automatic Payment of Premium form and submit via secure file upload here.

Long Term Care Claim

To initiate a claim on the Accelerated Death Benefit for Long Term Care Rider, complete the Long Term Care Claim Form.

The completed Long Term Care Claim Form can be submitted electronically online via the policyholder’s MyBenefits portal, by fax, or by mail.

• Fax: 1-866-424-8482

• Mail: American Heritage Life Insurance Company 1776 American Heritage Life Drive, Jacksonville, FL 32224

Life Insurance Claim

The beneficiary will need to submit the completed Life Coverage Claim Form  along with the death certificate. Both documents can be submitted electronically online if the beneficiary has the username and password for the policyholder’s MyBenefits portal. Otherwise, the forms can be mailed or faxed to Allstate.

• Fax: 1-866-424-8482

• Mail: American Heritage Life Insurance Company 1776 American Heritage Life Drive, Jacksonville, FL 32224