State Mutual Winston-Salem, NC27116 Insurance Company Beneficiary Statement Phone: 833-508-0404 Fax: 336-759-3141 Instructions: This form is to be completed by the beneficiary/claimant and sent along with the policy and a certified certificate of death to the address above. Information About the Deceased Please print all information on this form

State Mutual Insurance Company 1 State Mutual Drive Rome GA 30165. U.S. Mail Post Office Box 153 Rome, Georgia 30162-0153. Call Us: Corporate Office: 706-291-1054. Policyholder Service Numbers. Life Insurance: 833-508-0404; Email Life Customer Service: [email protected]; Medicare Supplement: 833-508-0404

Based in the northwest Georgia city of Rome, State Mutual Insurance was founded in 1936 in the aftermath of the Great Depression. Our origin is rooted in an event unique in the history of life insurance in our hometown.

In describing the value and story behind State Mutual Insurance, our customers say it best… “SUPPLEMENTAL INSURANCE FROM STATE MUTUAL HAS BEEN A LIFESAVER FOR US… ELECTRICITY, VEHICLE PAYMENTS, INSURANCE PAYMENTS, EQUIPMENT, GAS.

State Mutual offers policies* designed to provide a safety net for these additional, unplanned expenses. Our policies* pay you directly if you or any other covered individual in your family experiences a heart attack or stroke.

State Mutual Insurance Company is not connected with or endorsed by the U.S. Government. A licensed agent may contact you.

Founded in 1936, State Mutual Insurance serves the rural heartland of America with supplemental policies designed to cover gaps in standard medical insurance plans. Our policy areas cover critical illness events for cancer, heart attack and stroke, accidents, and chronic sickness.

A request for Reduced Paid Up Insurance – the face amount is reduced to the amount that can be bought by the Net Single Premium equal to Net Cash Value of the policy. A request for Policy Loan – if not repaid, the face amount is reduced by the outstanding loan when a claim is made.

State Mutual Insurance Company 210 East Second Avenue Suite 301. Rome, Georgia 30161. U.S. Mail Post Office Box 153 Rome, Georgia 30162-0153. Call Us: Corporate Office: 706-291-1054. Policyholder Service Numbers Life Insurance: 833-508-0404 Medicare Supplement: 877-872-5500 Platinum Supplement: 877-822-0582. Policyholder Forms. Platinum Customers

Jan 4, 2019 · The federal tax law provides that any nonperiodic distribution to you from a policy or rider by State Mutual Insurance Company will be subject to Federal Income Tax. There will be no withholding on the portion of distribution, which represents the return of …