We have great news!

Whether you need life insurance or long-term care, we've got you covered. Chubb is here to help. If you have any questions or concerns, need to reinstate your coverage, or request a PDF copy of your certificate, please contact us at csmail@gotoservice.chubb.com.

Your coverage is permanent, and your rates will always be based on the age you were when you initially enrolled for coverage. You can use your benefit dollars any way you choose.

LTC cash benefits are paid directly to you, and death benefits are paid to your beneficiary.

You can keep your coverage even if you change jobs, retire, or leave the state.

Online Forms

Beneficiary changes and changes to electronic funding/payment options are unable to be made by phone. All changes and/or requests must be submitted in writing to the address above. 

Service Change Form

Beneficiary Change Form

In order to make any changes to your beneficiary, the form below must be completed and mailed to the address listed above. All sections must be completed and you MUST include the social security number of the beneficiary.

 

If you are listing more than one beneficiary, the percentage of all beneficiaries must equal 100%.

 

 

 

 

Change of Ownership Form

When making a change to the ownership of the policy, this form must be completed and sent back with a complete Beneficiary Change Form (listed above).

 

 

 

HIPAA Release Form