State Mutual Insurance

As a policyholder, you have continuous access to the information that matters most.

You are able to:

• View detailed plan coverage
• Download, print, and save a copy of your policy
• Make claims
• View claim history

Policyholder Forms

Click below to download forms

• Beneficiary Change form
• Bank Authorization form
• Change of Ownership form
• Duplicate Policy Request
• Name Change Affidavit
• Policy Loan Request form
• Request for Reduced Paid Up Insurance form
• Bank Authorization form
• CA state surrender form
• Generic Surrender form
• KY state surrender form
• OR state surrender form
• WA state surrender form