Life Insurance Forms

It is easy to manage your policy.

Find and download the form you need. Print, complete, and sign.  Then mail or fax it to:

Vantis Life
Policy Services Dept.
200 Day Hill Road
Windsor, CT 06095

Fax 860-298-5483

Some forms can be submitted & signed electronically by clicking on e-sign below.

Questions?  Call customer service at 1-866-826-8471 

The forms are in Adobe PDF format. 

Assignment of Life Insurance Policy as Collateral  
Beneficiary Change Download e-sign
HIPAA Authorization Download e-sign
Policy Change Request Form Download e-sign
Premium Payment Authorization Download  
Reinstatement Request Download  
Release of Assignment Download  
Request for Certificate of Insurance/Duplicate Policy Download  
Request for Rate Reduction Download  

The following forms are specific to NY state customers:

Assignment of Life Insurance Policy as Collateral Download e-sign
Beneficiary Change Download e-sign
HIPAA Authorization Download e-sign
Policy Change Request Form Download e-sign
Premium Payment Authorization Download e-sign
Reinstatement Request Download  
Release of Assignment Download  
Request for Certificate of Insurance/Duplicate Policy Download  
Request for Rate Reduction Download