Accumulator annuity forms

Annuity claims are paid after the Company ensures that:

• You are the true beneficiary
• The contract is current and in force
• That all conditions of the contract have been met

Required documents

Please note:  All Forms below are the most requested claim options.  Please refer to the Checklist for additional details.

• Accumulator Series 04 & Earlier Beneficiary Guide Checklist: A guide for all Claim options
• Accumulator Series 06 & Later Beneficiary Guide Checklist

When filing a claim, these documents are necessary:

• Copy of death certificate - with cause and manner of death
• W-9 Form - Completed for the Beneficiary

One of the following Claim Election forms:

• Accumulator Series - Lump Sum Distribution new version
  • The Beneficiary receives their portion of the claim proceeds as a check

• Accumulator Series 04 and Earlier - Successor Owner/Annuitant (SOA) Option
  • The Sole Spousal Beneficiary is continuing the contract
• Accumulator Series 06 and Later - Spousal Continuation Option new version
  • The Sole Spousal Beneficiary is continuing the contract
• Accumulator Series 04 and Earlier - Spousal Rollover Acknowledgement Form
  • The Spousal Beneficiary is opening a new contract with EQH or funding an existing one.
• Accumulator Series 06 and Later – Spousal Rollover Acknowledgement Form
  • The Spousal Beneficiary is opening a new contract with EQH or funding an existing one.
• Spousal Rollover Acknowledgement Form for NQ Contracts
  • The Spousal Beneficiary is opening a new contract with EQH or funding an existing one.
• Accumulator Series 04 and Earlier – Inherited Annuity Beneficiary Continuation Option for NQ Contracts
  • The Beneficiary is electing to defer payment over their lifetime or 5 years
• Accumulator Series 06 and Later – Inherited Annuity Beneficiary Continuation Option for NQ Contracts
  • The Beneficiary is electing to defer payment over their lifetime or 5 years
• Accumulator Inherited IRA Beneficiary Continuation Option Post 1-1-20
  • The Beneficiary is electing to defer payment over their lifetime or 10 years

Additional documents

Not all options are available to all beneficiaries. Depending on your personal situation, these additional documents may be necessary:

• EQH Certification of Trust Form
  • Used to identify the trustee, beneficiary, and TIN of the trust, required if the beneficiary is a trust

• W-4R Form (Optional)
  • Used to elect additional Federal Withholding 

Return all documents to:

Regular Mail

Equitable Financial Life Insurance Company
Retirement Service Solutions
P.O. Box 1016
Charlotte, NC 28201-1016

Express Mail

Equitable Financial Life Insurance Company
Retirement Service Solutions
8501 IBM Dr. Suite 150-IR 
Charlotte, NC 28262-4333

Email: rss_beneclaims@equitable.com

Fax: 816-701-8039

You may also request these forms be e-mailed or mailed to you by calling:

• Our toll-free number, (800) 789-7771, Monday through Thursday, 8:30am - 7:00pm and Friday 8:30am - 5:30pm ET
• The contract-holder’s Financial Professional

If you need assistance at any time, we recommend that you check with your Financial Professional or contact the customer service area applicable to your situation.

These forms are Portable Document Format (PDF) files. If your browser is not yet capable of reading PDF files, you can download the free Adobe® Acrobat Reader™ software at the following link: http://www.adobe.com/prodindex/acrobat/readstep.html. Instructions for installation are also found at that location.