Absolute Assignment of Life Insurance Form

If the current owner of life insurance wants to assign ownership of coverage, then the current owner and the new owner must complete and sign this form.

The completed form must be sent to the insurer for the registrar's signature, along with copies of all enrollment forms, beneficiary designations and past assignments.

Form Name Form Number

Absolute Assignment form for group life policies issued by ReliaStar Life Insurance Company

114865 (rev 9/01/14)

Absolute Assignment form for group life policies issued by ReliaStar Life Insurance Company of New York

114865 (rev 9/01/14)

Absolute Assignment form for individual term life policies issued by ReliaStar Life Insurance Company

125691 (rev 9/01/14)

Voya™ Employee Benefits insurance products and services in the U.S. are provided by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance Company of New York (Woodbury, NY). Within the State of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the Voya™ family of companies. Product availability and specific provisions may vary by state. Each insurer is solely responsible for the financial obligations under the policies or contracts it issues.