Group Variable Universal Life Transaction Forms

The following links will help you manage your Group Variable Universal Life policy and investment options. Bookmark this page for handy reference.
 

You should read the GVUL prospectuses carefully:

• GVUL Prospectus for Certificates effective before 12/31/2008 

• GVUL Prospectus for Certificates effective on or after 1/1/2009 and before 1/1/2020

• GVUL Prospectus for Certificates effective on or after 9/1/2022

Application Tools:

• GVUL Risk Assessment and Allocation Worksheet 
  ​Analyze your tolerance for risk to guide investment of your premium
• GVUL 3 Fund Performance Sheet for certificates effective on or after 9/1/2022
• GVUL 2 Fund Performance Sheet for certificates effective on or after 1/1/2009 and before 1/1/2020
• GVUL 1 Fund Performance Sheet for certificates effective on or before 12/31/2008
• Life Insurance Buyers Guide
• Fund Election Sheet

Update your policy information:

• Change your Address or Contact Information​
• Change your Name or Beneficiary​
• Change the Ownership of your policy

Policy administration forms:

• Change your Investment A​llocation
  Change your investment allocations of all future payments to the Certificate Fund.
• Dollar Cost Averaging (DCA) Election​​
  Transfer money from the Prudential Series Fund Money Market Portfolio to any of your plan's variable investment options on a monthly basis.
• Dollar Cost Averaging (DCA) Cancellation
  Cancel all future Dollar Cost Averaging transfers.
• Face Amount Decrease
  Decrease the Face Amount of Insurance under your Group Variable Universal Life Certificate.
• Fund Transfer Request
  Transfer money between funds.
• Loan Request
  Request a loan.
• Loan Repayment
• Partial Withdrawal Request
  Make partial withdrawals from your Certificate Fund.
• Surrender Request
  Terminate participation in the Group Variable Universal Life Insurance program.
• Tax Withholding Election Form
  Choose your level of withholding.
• W-9 Request
  Taxpayor ID Certification.