About Us

Since 1883, Modern Woodmen of America has brought people together, supported families and strengthened communities.

About Us
Careers
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Looking for a meaningful career?

Grow with Modern Woodmen! As a financial representative, you can make a positive impact for your family and your community.

Financial Planning

We can help you meet your current needs, achieve your future dreams and plan for all stages of life.

Planning for Life

Our Products

Modern Woodmen maintains a portfolio of high-quality financial products that can help you meet a wide range of life needs.

Our Products
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Financial planning

Browse our helpful tips and articles to understand what’s important to you and your loved ones.

Being a Member

Modern Woodmen membership is about relationships. As a member, you work together with a trusted local representative to plan for some of the most important moments in the lives of those you love.

Being a Member
About Membership
Member Benefits
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Member Benefits

Modern Woodmen offers a variety of fraternal member benefits for all ages.

Printable Forms

Providing service to our members is a top priority at Modern Woodmen of America. If you would like to use one of our service forms below, please print, complete and send the form to the home office using a method described on the instruction page included with the form. Confirmation of the change will be mailed to the owner of the certificate once the request has been processed by the home office.

To download the form, click on the form title or the PDF icon. If you cannot find the form you need below, please contact your Modern Woodmen representative or the home office Service Center at 800-447-9811, Monday through Friday, 8 a.m. to 4:30 p.m. (Central).

Automatic bank check plan (ABC) authorization
This is a convenient and safe way to make a payment. The Automatic Bank Check Plan may be used to automatically pay your premiums or loan repayments on a monthly basis from a checking or savings account.

Absolute assignment form
An absolute assignment is a transfer of all ownership rights of an insurance or nonqualified annuity certificate from one individual to another individual or entity. To assign a certificate, this form needs to be signed, dated, properly notarized and submitted to the home office.

Applicant change form
An applicant is the owner of a certificate in which the insured was 15 years old or younger at the time of the original issue. This form allows for the current applicant to be changed to another individual. The insured must be under age 21 (age 16 in New York).

Beneficiary and/or name change form
This form allows for the change of the beneficiary on a certificate as well as the name of the insured or applicant on a life or annuity certificate. This form is in a fillable format, but must be printed, signed and mailed to the home office.

Collateral assignment form
Collateral assignment is a transfer of certain ownership rights of an insurance or annuity certificate to the applicant's creditor as security for payment of a debt. To assign a certificate, this form needs to be signed, dated, properly notarized and submitted to the home office.

Direct deposit of IRS tax refund to an IRA
Modern Woodmen members have the ability to request that the Internal Revenue Service (IRS) directly deposits all or part of their federal income tax refunds into their Modern Woodmen Traditional IRAs and/or Roth IRAs, subject to tax-year contribution limits.

Fraternal Aid Fund application – natural disaster
If you are a Modern Woodmen member and have experienced a financial setback due to your health, or major damage to your home or business as a result of a fire, flood or natural disaster, Modern Woodmen's Fraternal Aid Fund may offer financial relief from your premium payments for a limited time.

Fraternal Aid Fund application – health/accident
If you are a Modern Woodmen member and have experienced a major financial setback due to your health, Modern Woodmen's Fraternal Aid Fund may offer financial relief from your premium payments for a limited time.

Loan agreement
As an alternative to cash surrendering a certificate, this form can be completed by the certificate owner to request a loan against any portion of the available loan value in the contract. This form needs to be signed, dated and submitted to the home office.

Release of control to the insured on a junior certificate
An applicant is the owner of a certificate in which the insured was 15 years old or younger at the time of the original issue. This form allows for the current applicant to give control to the insured as long as the insured is now 16 years of age.