MRD-report-a-death-form

Issued by Midland National® Life Insurance Company

NOTE: In order to submit an online notification of death, a valid policy number must be provided and all required fields completed. If you do not have this information readily available, please call 866-388-2452 Monday-Thursday 7:30 am to 5:00 pm CST or Friday 7:30 am to 12:30 pm CST for assistance.

4544095
38461D-06 REV 05-25

Midland Retirement Distributors is a members of Sammons Financial®. Sammons Financial^® is the marketing name for Sammons® Financial Group, Inc.’s member companies, including Midland National® Life Insurance Company. Annuities are issued by Midland National Life Insurance Company.