Manhattan Insurance Group
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Manhattan Life Direct
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Manhattan Insurance Group offers one of the most complete Product Portfolios in the industry.
It is designed to meet the needs of Individuals, Families and Employees.
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Life
Life Insurance Forms
Claim Forms
Beneficiary Claimant Statement
Beneficiary Claimant Statement - Under $5,000
Gold Cross Burial Association Claim Form
Premium Waiver Form
Other Forms
Affidavit of Lost Policy Form
Affidavit of Lost Policy - International Life Policies
Annuity Cash Value and Maturity Value Request
Bank Draft Authorization Form (In English)
/
(en Español)
Beneficiary Change Form
Cash Surrender or Partial Withdrawal Form
Certificate of Trust Agreement
Collateral Assignment
HIPAA Form
(release PHI from provider) /
Agent HIPAA Form
(release PHI to agent) /
Family HIPAA Form
(release PHI to Family Member/Other 3rd Party)
Loan Agreement - Tax Deferred Annuity
Mortgage Company Release Authorization
One and the Same Name Affidavit
Ownership Change Form
Policy Service Form
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Manhattan Insurance Group
All Rights Reserved.
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The information contained on this Web Site does not constitute investment advice, and is not an offer to sell or a solicitation to buy any security or any insurance product. All insurance and/or securities transactions require signed agreements between the companies of Manhattan Insurance Group and its customers, and the terms of those agreements are binding on the parties. No other representation, whether made in person, online, electronically, in written, graphical, or verbal communication, may alter the terms of those agreements except that your use of this Web Site constitutes your agreement to the additional Terms of Use applicable to such use. Some products may not be available in all jurisdictions. In addition, any prospectus information available on this Site is posted for informational purposes only.