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OutgOing rOllOver/transfer/exchange request fixeD ... - Voya

Instructions - Page 1 of 1 Order #144774 12/03/2022 TM: TRANSFMNTOUTGOING rOllOver/transfer/exchange REQUESTFIXED/VARIABLE ANNUITIES - CHECKLIST FOREMPLOYER FUNDED PLANSR eliaStar Life Insurance Company (Home Office: Minneapolis, MN)ReliaStar Life Insurance Company of New York (Home Office: Woodbury, NY)(the Company )Members of the voya family of companiesCustomer Service: PO Box 1559, Hartford, CT 06144-1559 Phone: 877-884-5050 Use this form to request a rollover, transfer, or exchange from your 403(b), Roth 403(b), 401, 401(k), or Pension plan to another company.

fixeD/variaBle annuities fOr eMPlOYer funDeD Plans ReliaStar Life Insurance Company (Home Office: Minneapolis, MN) ReliaStar Life Insurance Company of New York (Home Office: Woodbury, NY) (the “Company”) Members of the Voya® family of companies Customer Service: PO Box 1559, Hartford, CT 06144-1559 Phone: 877-884-5050

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