About Us

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

About Us
Careers
Modern Woodmen of America, Rock Island, IL

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
Stories of strength from our history
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Persevering Through Uncertain Times

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
Don't know where to start?
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Financial planning

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

My Membership

When you join Modern Woodmen, you become a member of the organization. You trust us with your financial needs. And you have the opportunity to access fraternal member programs and impact your community.

My Membership
Member Website
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Member Website Overview

Make a payment, update your address, and access account information, online forms and fraternal programs from the member website.

Printable Forms

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 our headquarters 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 our headquarters.

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

Authorization to release information form
This form allows Modern Woodmen to release information concerning the designated certificate(s) to an authorized party, though the authorized party is not permitted to make transactions on the certificate.

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 our headquarters.

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.

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 our headquarters.

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 our headquarters.

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 – illness/injury
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.

Fraternal Aid Fund extension application
Members can apply for the Fraternal Aid Fund benefit a second time within a five-year period by completing a Fraternal Aid Fund extension application. You must provide supporting documents that show the out-of-pocket expenses you have incurred since the last time Fraternal Aid was granted. Please provide enough documentation to substantiate financial hardship.

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.

Request to discontinue premium notices form
This form must be signed by the certificate owner to discontinue mailed premium notices.


Note: More forms are available on the member website. (Login required.)