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Life Insurance Forms

Title What is This For? Contact Information
Determining Life Insurance Needs Step-by-step guidance

E-Mail churchlife@cpg.org

Enrollment Data Collection Form To enroll, change, or terminate employees in Group Term Life and Disability Insurance plans.

Please fax the completed form to: (212) 251-8969
or mail to: The Church Pension Fund, 19 East 34th Street, New York, NY 10016, Attn: Policy Service

Health Statement: Group Life Insurance To provide evidence of insurability when applying for life insurance

Church Life Insurance Corporation
19 East 34th Street
New York, NY 10016

Life/Annuities Beneficiary Form - Group & Individual Life and Annuities only Name your life insurance beneficiary

Church Life Insurance Corporation
19 East 34th Street
New York, NY 10016

Release for Payment of Cash Value of Insurance Policy Release Form for Payment of Cash Value of Insurance Policy

Church Life Insurance Corporation
19 East 34th Street
New York, NY 10016

 


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Life insurance and annuities are offered by or through Church Life Insurance Corporation, 19 East 34th Street, New York, NY 10016.

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