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Mercer Health & Benefits Administration LLC fax number
(515) 365-1520
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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
- Website
- Visit organization website
Before you send
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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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