Sales Support: 888-794-4447

Style Sheet Generic

Applications and Forms Search

These pages are intended to assist licensed insurance producers in the sale and service of  Nassau Re products and are not intended for unassisted use by customers.

Please visit our new website for up to date Applications and Forms



Sales Support: 888-794-4447

©2019 Nassau Re

Insurance and annuities issued by Nassau Life Insurance Company (East Greenbush, NY), Nassau Life and Annuity Company (Hartford, CT) and PHL Variable Insurance Company (PHLVIC) (Hartford, CT). Nassau Life and Annuity Company is not authorized to conduct business in CA, GA, MA, ME, and MN. PHLVIC is not authorized to conduct business in NY and ME. The insurers are separate entities and each is responsible only for its own financial condition and contractual obligations.

Saybrus Partners (Hartford, CT) (dba Saybrus Partners Insurance Agency in California), CA License # 0G81229.

Not all products and services described here are available in all states of the USA

BPD39076 4-14