Golden Shield Life Insurance

Applicable to confidential communication requests from Golden Shield Life Insurance applicants and clients

Confidentiality Policy

Golden Shield Life Insurance LLC has established confidentiality procedures to help protect certain personal information of people affected by domestic violence or another unsafe situation. A victim, the victim’s legal representative or, when a child is the covered person, the child’s parent or guardian may request to receive insurance-related communications at an alternate address, telephone number, email address, or through another reasonably available method of contact.

Although not required by every state law, Golden Shield voluntarily applies these or similar procedures to reasonable confidentiality requests, regardless of the applicant’s or client’s state of residence, for communications within Golden Shield’s control.

A person may submit a valid order of protection or make a reasonable request for confidential communications when disclosure through the usual contact method could endanger that person or a covered child. An order of protection is not required for Golden Shield to consider a reasonable request.

After accepting a reasonable request, Golden Shield will make reasonable efforts to:

• Avoid disclosing the alternate address, telephone number, email address, or other contact information supplied with the request without the requesting person’s permission, except as permitted or required by law.
• Use the approved alternate contact method for insurance communications maintained and controlled by Golden Shield.
• Avoid leaving voicemail messages or sending text messages, emails, or mail through a method identified as unsafe.
• Help the requesting person submit a similar request to the issuing insurance company when authorized.

Golden Shield Life Insurance is an independent insurance agency and broker. We are not the insurance company that issues or administers an insurance policy. An issuing insurance company may require its own form, identity verification, supporting documentation, or direct communication with the person making the request.

Submitting a request to Golden Shield does not automatically change the policy, billing, claims, or customer records maintained by an issuing insurance company.

Submit a Confidential Communication Request

To submit a written request, please complete the Golden Shield Confidential Communication Request Form .

Before sending the completed form, call or text 678-884-4653 from a safe device to confirm a delivery method that is safe for you.

The completed form may be mailed to:

Do not send an order of protection, medical records, or details about abuse through ordinary email, website chat, or text message unless you have determined that the method is safe.

Changing or Revoking a Request

To change or revoke a reasonable confidentiality request, submit a signed written request to Golden Shield Life Insurance LLC. Golden Shield may need to verify your identity before changing existing confidential communication instructions.

Changing or revoking instructions maintained by Golden Shield does not automatically change instructions or records maintained by an issuing insurance company. The carrier may require a separate written request.

State Address Confidentiality Resources

Several states provide address confidentiality or related programs for eligible survivors. These government programs are separate from Golden Shield’s confidential communication procedures. Eligibility, available services, and rules for using a substitute address vary by state.

• Arizona Address Confidentiality Program
• California Safe at Home
• Florida Victim Services and Address Confidentiality Program
• Georgia Safe at Home
• Michigan Address Confidentiality Program
• Ohio Safe at Home
• South Carolina Address Confidentiality Program
• South Dakota Secure Active Designation
• Texas Address Confidentiality Program
• West Virginia Address Confidentiality Program

Participation in a state program does not necessarily require a private business or insurance company to accept a substitute address. An issuing carrier may still require a physical address for underwriting, residency verification, policy administration, fraud prevention, or claims.

Confidential Support