Notice Of Data Event

Non-Forfeiture Option Election Form

See all:

Employer Resources
Individuals & Families Resources


Non-Forfeiture Options are only available for specific life insurance plans.

Non-Forfeiture Option Election Form

Before completing this form, please know:

  • Some Non-Forfeiture Options require sufficient cash values to execute.
  • If your premiums are past due and your policy has insufficient cash values to execute your selected NFO, your policy will lapse.


Using a blue or black ink pen

Submit in 1 of 3 Ways

Email: [email protected]

Fax: 1 (800) 946-1295

or Mail:
Pacific Guardian Life
Attn: Client Relations Department
1440 Kapiolani Blvd.,
Suite 1700
Honolulu, HI 96814