Listed below are state specific Reinstatement forms and the required HIPAA and Financial Statement form. Please be sure to send all of these required forms with your Reinstatement request. If you do not see your state specific form listed, please use the Generic form.
For questions or comments & policy inquiry:
U.S. Financial Life Insurance Company
P.O. Box 1419
Charlotte NC 28201-1419
Attention Illinois residents:
Cook, Kane, Lake, and McHenry counties, in Illinois, have been declared state disaster areas.
AXA US is offering temporary relief to affected policyholders.
AXA S.A. is a French holding company for a group of international insurance and financial services companies, including AXA Equitable Financial Services, LLC. (AEFS). "AXA" is the brand name of AEFS and its family of companies, including AXA Equitable Life Insurance Company (AXA Equitable) (NY, NY), MONY Life Insurance Company of America (AZ stock company, admin. office: Jersey City, NJ) (MONY America), and AXA Distributors, LLC. All group insurance products are issued either by AXA Equitable or MONY America, which have sole responsibility for their insurance and claims-paying obligations. Some products are not available in all states.