Forms for Clients

Contract Payees and Owners:

Once a policy is issued, all changes and inquiries flow through the Structured Settlement Customer Service Department. Please submit your requests in writing and include the claimant's signature for the following changes:

 
 

Use for:

  • Beneficiary Changes

  • Address/Telephone Number Change

  • Name Change

 

Use for:

  • Electronic Funds Transfer (EFT) set up or changes

Death Notification

If your client passes away, you can notify Pacific Life of their death by calling our Customer Service team. Please reach out during normal business hours to receive further instructions.

Place image

Hours
8:30 a.m. – 5:00 p.m. ET

 

Call
(888) 728-5611

SSC1390-0625

Pacific Life is a member of the National Structured Settlements Trade Association.

 

Pacific Life, its affiliates, their distributors and respective representatives do not provide tax, accounting or legal advice. Any taxpayer should seek advice based on the taxpayer’s particular circumstances from an independent tax advisor or attorney.

 

Insurance products and their guarantees, including optional benefits, annuity payout rates, and any crediting rates, are backed by the financial strength and claims-paying ability of the issuing insurance company. Look to the strength of the insurance company with regard to such guarantees because these guarantees are not backed by the independent broker/dealers, insurance agencies, or their affiliates from which products are purchased. Neither these entities nor their representatives make any representation or assurance regarding the claims-paying ability of the issuing company.

 

Pacific Life refers to Pacific Life Insurance Company and its subsidiary Pacific Life & Annuity Company. Insurance products can be issued in all states, except New York, by Pacific Life Insurance Company and in all states by Pacific Life & Annuity Company. Product/material availability and features may vary by state. Each insurance company is solely responsible for the financial obligations accruing under the products it issues.

 

The home office for Pacific Life & Annuity Company is located in Phoenix, Arizona. The home office for Pacific Life Insurance Company is located in Omaha, Nebraska.

 

For financial professional use only. Not for use with the public.

This website or its third-party tools use cookies, which are necessary to its functioning and are required to achieve the purposes illustrated in our online privacy policy.