Term Policy Conversion (A169)

Complete Change Application Form A169 (see State exceptions for application A169 maintained in Sales Forms on www.kclic.net).

Obtain the appropriate signature of all proposed Insureds older than 18 and the Policyowner. Submit the request to New Business/Reissue at the Home Office.

Evidence of insurability is required for the following changes. Submit appropriate evidence of insurability pages found in the change application.

 

Increase Death Benefit

Add a Rider

Change to Option B

Reduce a Rating

Remove a Rating

AI Option with additional benefits

Conversion with additional benefits or volume increase

Click here for details on how to direct the form to the Home Office.