Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Mercer Health & Benefits Administration LLC before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Mercer Health & Benefits Administration LLC fax number

(515) 365-1520

Group Universal Life & Supplemental Term Life

Used for: Submitting Owner/Insured Transaction Requests for Group Universal Life policies (withdrawal, surrender, loan) and related enrollment/benefit forms.

Fax destination details

Department
Group Universal Life & Supplemental Term Life
Purpose
Submitting Owner/Insured Transaction Requests for Group Universal Life policies (withdrawal, surrender, loan) and related enrollment/benefit forms.
Form
Transaction Request Instruction Form — Owner Transaction Request Instruction Form
Address
Mercer Health & Benefits Administration LLC, PO Box 9122, Des Moines IA 50306-9122
Voice phone
1-888-788-8626

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.

This form must be completed to request a withdrawal, surrender or loan from your certificate.

Official form instructions are published as a downloadable file on the organization's website.

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