Life Insurance Guaranteed Purchase Option

A Guaranteed Purchase Option is available for you to exercise

Thrivent is committed to keeping you informed about your financial products. That's why we wanted to let you know that your current life insurance contract contains an option that allows you to increase your coverage amount to better fit your growing financial needs.

This option is called a Guaranteed Purchase Option (GPO). As stated in your contract, it allows an insured person to increase his or her coverage amount without providing evidence of current insurability.

To make it as easy as possible for you to exercise your GPO, we've provided the form below for you to complete.

If you have questions or prefer to exercise your GPO by phone, you can call 888-834-7440 between 8 a.m. and 6 p.m., Central time Monday through Friday.

To learn more about the privacy of your information, visit our privacy policy.

* Indicates required field

Information for insured on contract

* First Name:

Middle Initial:

* Last Name:

* Date of Birth:

Format: mm/dd/yy

* State:

* Email:

Format: email@example.com

* Phone Number:

Format: xxx-xxx-xxxx

By sending this request, I agree that Thrivent or a Thrivent financial professional may call me at the phone number(s) I provided, even though I may be on a Do Not Call Registry and/or it may be a wireless number.

Information for submitter/person completing this form

Same as Above:

* First Name:

Middle Initial:

* Last Name:

* State:

* ZIP Code:

* Email:

Format: email@example.com

* Phone Number:

Format: xxx-xxx-xxxx

* Contract Number:

(this can be found on your letter or a past bill)

* I would like to increase my coverage by:

* I would like to complete this transaction only if my current billed premium will increase by:

* For questions concerning this transaction, I prefer to be contacted by:

Email Phone

By checking this box, I agree to the following statements: I want to exercise my Life Insurance GPO as dictated under the terms of my contract. Once I hit submit, if my option can be exercised within the criteria above, it will be processed and cannot be reversed. I understand that Thrivent will send me new contract pages by mail reflecting the requested changes if the transaction is processed. If this transaction cannot be completed as requested, Thrivent will contact me as I have requested above concerning further interaction on my part. I authorize Thrivent to contact me by email or the above phone number and understand that by choosing to be contacted via email, payment options concerning my contract will be provided to me. View our Privacy Policy.

T.COM-Z.1.2