Illinois Secondary Addressee Designation Form

Illinois Insurance Code 215 ILCS 5/235.1

You have the right to designate a secondary addressee to receive a notice of lapse or cancellation of your life insurance policy based on nonpayment of premium. You may make such designation at the time of application or at any time the individual life insurance policy is in force by submitting a written notice to the Company containing the name and address of the secondary designee. You may change your designation at any time with written notice to the Company.