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Change Form MP-2
Use form MP-2 to perform any of the following policy modifications or requests:
> Change Address
> Change Beneficiaries
> Change Name
> Change Policy Ownership
> Change Occupation
> Remove Dependent Coverage
> Remove Rider from Coverage
> Request for Duplicate Policy
Form MP-3
Use form MP-3 to apply for reinstatement of insurance coverage.
(Note: does not include cancer coverage, see form MP-4)
Form MP-4
Use form MP-4 to apply for reinstatement of cancer insurance coverage.
Form APLCOB-APP
Use form APLCOB-APP to apply for continuation of health coverage (COBRA).
Form G-112R
Use form G-112R to authorize American Public Life to honor checks or
electronic transfer of funds.
Form PRDAuth
Use form PRDAuth to add, change or cancel your payroll deductions.
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