For Customer Support, Call 1-800-523-9100

To add coverage, call 1-877-877-8052

New York Residents call 1-800-323-4542
Call Center Hours

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Download Forms, Brochures and Booklets

Customer Service and Claim Forms

Change of Beneficiary Form
Automatic Premium Payment Deduction Form (to have your premium deducted from your checking or savings account)
Claim Form for Life Insurance Death Benefits
Transfer of Ownership
Claim Form for Critical Illness Accelerated Death Benefit – Cancer
Claim Form for Critical Illness Accelerated Death Benefit – Heart/Stroke
Claim Form for Chronic Illness Accelerated Death Benefit
Claim Form for Terminal Illness Accelerated Death Benefit
Claim Form for Accidental Death

TransferOfOwnership is not available for NY state

Helpful Guides, Planners and Booklets

For NY Residents

NOTE: These forms are PDF files. You will need Acrobat Reader software to open these files. If you do not have Acrobat Reader you can download it for free, click here

Colonial Penn Life Insurance Company
Bankers Conseco Life Insurance Company

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Home of the Colonial Penn® Program

The Colonial Penn® Program is underwritten in most states by and is a registered trademark licensed by Colonial Penn Life Insurance Co, Philadelphia, PA. For policies issued in NY, the Colonial Penn® Program is underwritten by and is a registered trademark licensed by Bankers Conseco Life Insurance Co, Jericho, NY. Colonial Penn Life Insurance Co is not licensed in and does not solicit business in the state of New York. Policies underwritten by Intramerica Life Insurance Co are administered by Bankers Conseco Life Insurance Co.