Date of Birth (if individual) of. Street. City. State. Find the life insurance and annuity service forms you need to request changes.To fill out this form, first gather all necessary personal and organizational information beforehand. A collateral assignment is a legal arrangement where the policyholder assigns the benefits of their policy to a lender as collateral for a loan. I understand that if there is a valid assignment on file, only the assignee has the right to designate a beneficiary. The assigned life insurance policies stood beside the main debt as an additional or cumulative means to insure its payment. Submit Claims to: American Heritage Life Insurance Company. 1776 American Heritage Life Drive, Jacksonville, FL 32224.