Instructions

  • Please fill-in the form, download the filled-in form, print and sign the form, and then mail the signed form to:

    Woman’s Life Insurance Society®
    1338 Military Street
    PO Box 5020
    Port Huron, MI 48061-5020

Claim for Death Benefit (I-100), Filing Instructions (I-100i), & Settlement Options (I-100n) Page 2

Claim for Death Benefit (I-100), Filing Instructions (I-100i), & Settlement Options (I-100n) Page 5

Claim for Death Benefit (I-100), Filing Instructions (I-100i), & Settlement Options (I-100n) Page 6