Dear Settlers Life beneficiary:
Please accept our condolences on your loss of your loved one. Rest assured that Settlers Life is here to assist you in your time of need. We know that at the time of a loved one's death, having life insurance proceeds quickly and readily available to pay for final expense can help relieve the stress of an emotional event.

To start the claim process, you may call our Claims Department at 1-800-334-9607 for a claim form, or you can simply click here for one.

The claim form will need to be completed, and signed by the appropriate beneficiary(s)*. Please return all originals to us, along with a certified death certificate with cause of death and the applicable policy(s).

If the beneficiary(s) wishes to assign the policy proceeds to a funeral home, in addition to the above claim form, we will require a signed, notarized assignment form. Simply give the assignment form to the funeral home director for completion. Please note the beneficiary(s) must sign the assignment for policy proceeds to be paid to the funeral home. Click here for an assignment form.

If additional information is needed, the Claims Department will contact the beneficiary(s) directly. Likewise, after the claim is processed, the beneficiary(s) will be notified by mail. Again, if we can be of further assistance to you; do not hesitate to let us know. *One claim form is required for each designated beneficiary.

Mailing address: 

Settlers Life Ins. Co. 
P.O. Box 8600
Bristol, VA 24203-8600
Toll-free: 1-800-334-9607
Fax number: 1-276-645-0218

Here's all you need to do to update your name or beneficiary:

• Click here to download the form. You will need the free Adobe Acrobat Reader to view and print it.
• Fill out the section appropriate to your change. You can fill out the form electronically or by hand.
• Print the form. Please make sure you've signed it.
• Fax the form 276-645-4398 or mail the form to:
  Settlers Life Insurance Company
  c/o Data Dimensions
  Mailstop: Settlers Life - 1425
  PO Box 2812 Clinton, IA 52733-2812

It's that easy!

Filling Out The Form Electronically

• Check the boxes you want by moving your mouse over the box and clicking (the cursor will turn from a hand to an arrow). To un-check a box, simply click on it a second time.
• To type on a line, click where you want to start and begin typing. You can use the tab key to advance to the next line.
• Once you've filled out all applicable parts, print the form by clicking on the print button at the top of the screen (part of Acrobat Reader).

Note: When you close Acrobat Reader, your entries will not be saved. If you print the form and realize you need to add or change something, your entries will still be there as long as you did not close the program.