Download Policy Holder Forms

Thank you for selecting Starmount as your Insurance Company and visiting InsuranceLife.com! We are pleased to have an opportunity to work with you and hope our web site will be of benefit.

The following items have been posted for easy access:

A copy of our Beneficiary, Ownership, Name, Address Change form*
A copy of our Life Insurance claim form*
A copy of our Hospital Indemnity (HIP) claim form*
A copy of our Protection Change and Reinstatement Request form*
A copy of our Physician Information and HIPAA Authorization form*

Mail completed forms to:

Starmount Life Insurance Co.
P.O. Box 98100
Baton Rouge, LA 70898-9100

* These files are in Adobe PDF format. In order to view these files, you are required to have
Adobe Acrobat Reader