Instructions
Convert your traditional IRA to a Roth IRA by completing the form on this page.
- Complete form
Provide information according to the instructions on the form. - Fill out requirements
Complete owner name, policy number, owner social security number, effective date, tax option, owner signature and date. A conversion from a traditional IRA to a Roth IRA is subject to income tax; we recommend you consult your tax advisor. - Submit form
Return the completed forms with any required documents via postal mail, overnight mail or fax to our service center.
Postal mail
F&G Service Center
P.O. Box 81497
Lincoln, NE 68501-1497
Overnight mail
F&G Service Center
777 Research Drive
Lincoln, NE 68521
Fax
Annuity Policyholder Services (PHS): 402.328.2266
Allow 3 business days for faxed documents to enter our processing system. - Allow 15 days to process
F&G will process the request within 15 business days of receipt of all required information if in good order. - Confirmation
A confirmation of this change will be mailed to the owner's address on record upon completion.
Conversion Request Form [ADMIN 5576]
Download ADMIN557622-0084