Centrian Life - no hassle, no nonsense access to online forms.

Centrian Life Insurance makes it easy to manage your policy. Find and download the form you need. Print it out, sign it and send it to:

Centrian Life Insurance
P. O. Box 4044
Woburn, MA 01888-4044

If you have questions, please call customer service at
1-800-315-0552
Monday - Friday
8:00 A.M. through 6:00 P.M. Eastern Time

Form (Click on the name to download)

Automatic Payment Plan
Complete this form to have premium payments electronically drafted from your checking account.

Beneficiary Change Request
Complete this form to change the beneficiary of your policy.

Beneficiary Change Request to a Trust
Complete this form to change the beneficiary of your policy to a trust.

Dividend Option Change Request
Complete this form to request a change in the dividend option on your policy.

Duplicate Policy Request
Complete this form to request a replacement policy.

Name and Address Change Form
Complete this form for name and/or address changes.

Ownership and/or Beneficiary Change Request
Complete this form to change ownership and/or beneficiary of your policy, if the policy was issued after May 1, 1975.

Policy Change Request – Reduction in Coverage
Complete this form to request a reduction in coverage (policy face amount) on your policy.

Policy Change Request – Change in Premium Class
Complete this form to request a change in premium class on your policy.

Policy Change Request – Non-Smoker Rate
Complete this form to request a change from smoker to non-smoker rates on your policy.

Policy Change Request – Removal of Rating
Complete this form to request a removal of a rating on your policy.