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  • Solutions for Life
    • Find your solution:
    • Single
    • Married
    • Family
    • Empty-nesters/Retirees
    • Business Owners
    • Life Insurance Calculator

    You may think that if you’re single, you don’t need life insurance. But do you have aging parents who may need to rely on you someday for financial support? How about major co-signed debt? Have you thought about setting something aside for your own future?

    Learn more about how you can protect your loved ones with life insurance and fixed annuities.

    Married life brings with it a world of joy. It also brings a world of challenges and responsibilities. Whether you're just starting out or you're approaching a major milestone in your marriage, chances are, you have something worth protecting.

    Learn more about protecting your spouse with life insurance and planning for the future with fixed annuities.

    Your family relies on all of your contributions, whether financial or emotional. You may be a breadwinner, but bread isn't the only thing you bring to the table. If the worst should happen, life insurance can help you protect your family even after you're gone.

    Learn more about safeguarding your family's dreams with life insurance.

    You've spent a lifetime building your family alongside your dreams. Now, let us help you embark on another set of dreams. In addition to protecting your loved ones now, life insurance and fixed annuities can also guarantee an estate for your heirs.

    As they say, the best is yet to come. Learn more about protecting whatever comes next in your life.

    Your business is your legacy. You've built it, nurtured it and poured your life into it. Life insurance can help keep your business going if you're gone, providing coverage for buy-sell agreements and in some cases build a cash value that you can borrow against if things get tough.

    Learn how you can protect your great American dream with life insurance.

    If you aren't sure about the amount of life insurance coverage you need, use the life insurance calculator to help get you started.

    This calculator will give you an idea of how much coverage you will want to look into getting to help meet your financial security goals.

  • Products
    • Life
    • Term Life Insurance
    • Universal Life Insurance
    • Gleaner’s Blueprint Whole Life Series™
    • Just For Kids®
    • Annuities
    • Flexible Premium Annuities
    • Indexed Annuities
    • Single Premium Deferred Annuities
    • Single Premium Immediate Annuities

    Gleaner provides life insurance and fixed annuity solutions to meet your needs. Learn more about how our products can help you protect all of the important things in your life.

    Consult an agent

  • Giving Back
    Give and Grow
    Faith In Action
    Arbors

    Make a difference in your community. Give and Grow with Gleaner Life.

    As a faith-based not-for-profit organization, Gleaner helps to better our members' communities by providing the funding to complete volunteer projects. Explore how our members help us to be a major force for good.

    Funded entirely by Gleaner, our arbors or service clubs allow members to get involved in their communities by volunteering and making donations to charitable causes without the hassle of fundraising.

  • Choose Gleaner
    About Us
    Our History
    Member Benefits

    Gleaner Life Insurance Society provides both financial security and volunteer opportunities to members. Our competitive life insurance and annuity products help members to safeguard their dreams now and in the future.

    Much of what makes Gleaner what it is today was set in motion more than 128 years ago when Grant Slocum, a farmer's son, had a vision for a fraternal society that would protect farmers and their families.

    In addition to life insurance and annuity products, Gleaner members and their families enjoy a variety of member benefits, including shopping discounts, scholarship opportunities and family-friendly events.

  • My Account

800.992.1894

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  • Secure File Transfer
Important Forms

The forms below are provided for you to request certain changes or transactions on your certificate. You can download any of the forms directly to your computer. Once you have completed the form you can submit it to:

Member and Agent Services
Gleaner Life Insurance Society
5200 W. U.S. Hwy 223, Adrian, MI 49221.

To protect your personal information, you can also securely submit the completed forms through our file transfer service. Click here for the Secure File Transfer.

Need assistance? Contact Member and Agent Services at 800-992-1894.

 

General Service

Request for Service

Use this form to request service on a certificate, including member name changes, address changes, loans on life insurance, annuity withdrawals, automatic required minimum distributions from IRAs, etc.

Request for Settlement

Use this form to request a settlement on an annuity certificate.

 

Death Claim
Online Claim for Death Benefits Completing this form will notify Gleaner of the death of your loved one and allow you to download death claim forms.

 

Change of Beneficiary
Change of Beneficiary This form should be used when submitting a change of beneficiary on a certificate.
Separate Beneficiary Designations This form is to be used with a non-qualified annuity if the annuitant and owner are two separate individuals and unique beneficiary designations are desired.
Change of Beneficiary Additional Names This form should be used in addition to Beneficiary Change Request (437-04 or 437a-04) forms if you require additional space.

 

Change of Ownership
Transfer of Ownership This form is required to change the owner on any certificate number beginning with 356000 and up.
Absolute Assignment This form is required to change the owner on any certificate number below 356000.
Collateral Assignment This form is required to assign the certificate as collateral.

 

Premium Payment
One Time Check Draft Authorization Use this form when faxing or emailing a check. The check should be made payable to Gleaner Life Insurance Society for the amount of the required premium. Do not mail the original check if this form has been used.
Automatic Withdrawal Authorization This form is used to establish automatic monthly premium payments from the member's bank
Miscellaneous
Substitute Form W-9 Complete and submit this form to Gleaner's Home Office to confirm your correct social security number.

 

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Solutions for Life

  • Single
  • Married
  • Family
  • Empty-nesters / Retirees
  • Business Owners

Products

  • Life Insurance
  • Annuities
  • Consult an agent

Choose Gleaner

  • About Us
  • Member Benefits
  • Our History
  • News & Events

Giving Back

  • Arbors
  • Faith in Action
  • Find an Arbor

Receive Gleaner news & updates

Contact Us
gleaner@gleanerlife.org
p 800.992.1894 | f 517.265.7745

Privacy Notice

Gleaner Life Insurance Society is domiciled in Adrian, Michigan, and licensed in AZ, FL, GA, IA, IL, IN, KS, KY, MI, MO, NC, NE, OH, PA, SC, TN, VA, WI and WV. 

©2016 Gleaner Life Insurance Society