Over the course of your life you may need to make some changes to your New Ireland Assurance polices. To make these changes easy for you please click on the relevant link below, complete the form and return to us.
We promise to handle your request in a timely manner.
Schedule of Charges
Financial Advisor Commission Summary
Direct Debit Mandate
If you would like to change the bank account details or start making payments by direct debit, please fill in the direct debit mandate below and return it to us.
Change of Address
If you want to change your address for correspondence, please complete the following form and return it to us.
Fund Switch/Redirection
To switch or redirect your funds, please complete the form below and return to us.
Top Up/Premium Increase Form
To make a lump sum top up or increase you regular premium, please complete the relevant form below and return it to us.
PruFunds Declaration Form
To invest, switch-in or make a lump sum top up to PruFunds, please complete the form below and return it to us:
PruFunds Switch Out Form
Please use this form for fund switches for policies invested in PruFunds only. Please complete the form and return it to us:
Original Policy Document Replacement Form
If you would like to apply for a replacement Policy Document, please complete the following form and return it to us.
Policy Change Request Form
If you have a Life Choice , Vision Plan or Total Care policy, you may want to make changes to it based on your personal or financial circumstances, such as;
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Add/Remove Life Assured.
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Add/Amend/Remove a protection benefit.
We recommend that you speak with your Financial Broker or advisor before completing this form. They’ll be happy to talk you through your options and ensure the form is completed fully and accurately before sending to us.
Please note: Depending on the policy alteration, we may need additional information from your General Practitioner or specialist. Although we aim to complete your request as soon as we can, this can cause delays. We will notify you once your request has been completed.
Did you know?
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If you have an investment policy, it may be possible to take part of your funds and leave the remainder invested. Your ability to do so will be set out in your policy conditions.
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You should really contact your financial advisor before making encashment decisions as in certain cases, charges may apply.
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You can call us and find out how your fund is performing- it’s quick and easy.
Single Premium Withdrawal Form
Form to be completed to take a withdrawal of funds from a Single Premium Investment policy.
Regular Premium Withdrawal Form
Form to be completed to take a withdrawal of funds from a Regular Premium Investment policy.
ARF Withdrawal Form
Form to be completed to take a withdrawal of funds from an Approved Retirement Fund.
Declaration of Health
To request the reinstatement of a lapsed policy, you must complete the evidence of health form below and return to us.
Sentinel II Fund Forms
Please use the below form for fund switches for policies invested in Sentinel II Fund only. Please complete the form and return it to us:
Please use the below form for investment top ups for policies invested in Sentinel II Fund only. Please complete the form and return it to us:
Please use the below form for pension top ups for policies invested in Sentinel II Fund only. Please complete the form and return it to us:
Please use the below form for single premium executive pensions top ups for policies invested in Sentinel II Fund only. Please complete the form and return it to us: