homecustomer servicecontactsite map
About Us
Carriers Represented
Contact Us
Home
Free Quotes
Auto Insurance
Condo Insurance
Flood Insurance
Homeowners Insurance
Manufactured Homes Insurance
Motorcycle Insurance
Renters Insurance
Umbrella Insurance
Personal Insurance
Life
Health
Disability
Long Term Care
Dental
Life & Health
Annuity
Group Plans
Estate Planning
Financial Services
Customer Service
Articles
Auto Videos
Life Videos
Homeowners Videos
Safety Videos
Misc Videos
Links
Miscellaneous
Insurance Resources
 Change of Beneficiary 
Existing Policy: Change of Beneficiary

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Owner Name :
Owner Date of Birth:
mm/dd/yy
Current Beneficiary Information
                Name                  %            Relationship     DOB        Gender
M F
M F
M F
New Beneficiary Information
                Name                  %            Relationship     DOB        Gender
M F
M F
M F

By submitting this form you understand that no coverage is bound until you receive written notice. Changes to policies via this website are not effective or binding until you, or any party involved, receive official notification from your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.
Enter the security code you see above. Code is NOT case sensitive. *

Select Free Quote 
 
  
Insurance That Grows With You

Klemme Insurance Services, LLC
3211 W. Wadley #20
Midland, TX 79705

Toll Free: (866) 518-5646
 Phone: (432) 687-5646      fax: (432) 684-4428
 email: bob@klemmeinsurance.com  

READ OUR PRIVACY STATEMENT

Some Content Provided By: © Insurance Information Institute, Inc. - Used With Permission ALL RIGHTS RESERVED -

Powered By: Insurance Web Designs
websites for insurance agents