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Reinstatement Applications


To apply for reinstatement of your policy, please have each of the forms completed for all individuals who had been covered by the policy at the time it lapsed. Upon receipt of the completed forms, we will consider your policy for reinstatement. We will notify you of the required payment amount, if the reinstatement is approved. We are not able to accept any payments on the policy until that time.

Reinstating your universal life or whole life policy may cause it to become a modified endowment contract (MEC-explained in the included Statement of Intent for Modified Endowment Contract form). For further details on this, please contact your Beneficial financial professional or our Customer Service Department at 1-800-283-2959.

Alabama Reinstatement Application Alaska Reinstatement Application
Arizona Reinstatement Application Arkansas Reinstatement Application
California Reinstatement Application Colorado Reinstatement Application
Delaware Reinstatement Application Florida Reinstatement Application
Hawaii Reinstatement Application Idaho Reinstatement Application
Illinois Reinstatement Application Indiana Reinstatement Application
Iowa Reinstatement Application Kansas Reinstatement Application
Kentucky Reinstatement Application Louisiana Reinstatement Application
Massachusetts Reinstatement Application Michigan Reinstatement Application
Minnesota Reinstatement Application Mississippi Reinstatement Application
Missouri Reinstatement Application Montana Reinstatement Application
Nebraska Reinstatement Application Nevada Reinstatement Application
New Hampshire Reinstatement Application New Mexico Reinstatement Application
North Carolina Reinstatement Application North Dakota Reinstatement Application
Ohio Reinstatement Application Oklahoma Reinstatement Application
Oregon Reinstatement Application Rhode Island Reinstatement Application
South Carolina Reinstatement Application South Dakota Reinstatement Application
Tennessee Reinstatement Application Texas Reinstatement Application
Utah Reinstatement Application Virginia Reinstatement Application
Washington D.C. Reinstatement Application Washington Reinstatement Application
Wisconsin Reinstatement Application Wyoming Reinstatement Application