© Copyright 2009-2010 Federal Life Insurance Company (Mutual). All rights reserved.
3750 West Deerfield Road - Riverwoods, Illinois 60015. Phone: (800) 233-3750
This form requires the following information:
Complete Ownership/Contingent Ownership Designation Form: L-5535 and send it to us by mail, fax, or email.
If you have any questions please contact Customer Service department at (800) 233-3750 ext. 503.