Individual Assurance Company, Life, Health & Accident (IAC) – Administrator for LifeShield National Insurance Co. fax number

Fax destination details

Department

Policyowner Services

Purpose

Policyowner services correspondence for Medicare Supplement policies (and related underwriting communications), including policy updates, confirmations, premium notices; LifeShield-related policyowner requests may route here.

Form

Application/Policy forms — Medicare Supplement Application (and related policyowner forms such as HIPAA Authorization, premium receipt, replacements)

Address

One Western Plaza, 5500 N. Western Ave, Suite 200, Oklahoma City, OK 73118

Voice phone

Policyowner Service: 888-524-3629

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

See IAC Medicare Supplement forms kit (Application, HIPAA Authorization, notices).