Related Information


Paramed Exam

 

Need Help?
Contact our salaried professionals
at 1-800-555-4655
or e-mail us at direct@ameritas.com.
Apply

 

Choose the applicant's state of residence to access the correct application and necessary forms to apply for Acacia Advisor Term. For assistance, call one of our salaried professionals. If your state is not listed, please call us for rates.


 

For a detailed list of applications and forms needed, complete the following:

   State:

Does applicant have existing coverage? Yes    No
Is applicant replacing existing coverage? Yes    No

Select riders applied for:
Child Protection

Select all that apply:
Diabetic   Aviation   Hazardous Hobbies   Military  
Travel   Alcohol   Drugs


  

 

What's Next?

 

1. After the application and required forms (if any) are completed, enclose a check for the first premium (if paying by monthly bank draft, include 2 monthly premiums), payable to ACACIA LIFE INSURANCE COMPANY., and dated to match the date of the signatures on the application.*

 

2. Please provide a copy of owner's driver license / I.D. or passport or visa or alien registration card.

 

3. Mail the completed application, other required forms and the check for the initial premium to:

Ameritas Advisor Services
Attn: New Business
PO Box 81889
Lincoln NE 68501-1889

For prompt service, you may also fax the completed application and the other required forms to: (402) 467-7335. Please follow up with all original forms via mail.

 

4. When we receive (via fax or mail) the completed application, required forms (if any) and check, we will automatically order the paramed exam.

 

If you have questions about the application process, please call us or e-mail at direct@ameritas.com.

 

 

*If the applicant is applying for more than $1,000,000, do not send money with the application.

 

 

Acacia Advisor Term (Form 7250) issued by Acacia Life Insurance Comapny.  Ameritas Life Insurance Corp. and Acacia Life Insurance Company are afiiliated. Policies may not be available in all states. Ameritas Advisor Services is a division of Ameritas LIfe Insurance Corp.