How To Request A Minimum Required Distribution

Request a minimum required distribution with this form.

If your policy was issued in New York, click below.

Instructions

Complete Form

Complete the Required Minimum Distribution form.

Submit form

Return the completed forms with any required documentation via U.S. mail, overnight mail or fax to Fidelity & Guaranty Life Insurance Company Service Center.

Postal Mail

Fidelity & Guaranty Life Insurance Company Service Center
P.O. Box 81497
Lincoln, NE 68501-1497

Overnight Mail

Fidelity & Guaranty Life Insurance Company Service Center
777 Research Drive
Lincoln, NE 68521

Fax
402-328-2266

Allow 7 days to process

Fidelity & Guaranty Life Insurance Company will process the request within 7 business days of receipt if in good order.

Confirmation

A confirmation of this change will be mailed to the owner's address of record upon completion.

Featured Box Image

Required Minimum Distribution Form admin 5275

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15-799

Still have questions?

Reach out to our customer service.