Deceased Policy Owner

If the Settlement Class Member has passed away, legal heirs should review this page for information relating to Settlement check payments. Under the terms of the Settlement, checks will be made payable to the estate however there are other options available described below.

The Legal Heir Affidavit and Indemnification Agreement can be downloaded by clicking the link below.

FAQs for Deceased Policy Owner

1. Do I need to complete the Legal Heir Affidavit and Indemnification Agreement?

If the policy owner has passed away and you do not want a check issued in the name of the estate of the deceased, you can fill out the Legal Heir Affidavit and Indemnification Agreement. Please see FAQ 2 for more information but note that checks will only be mailed if the Settlement receives final approval from the Court.


2. My family member had a policy but has passed away. Can I get the check in my name?

If the Settlement receives final approval from the Court and you would like a check made out to someone other than the deceased Class Member's estate, you must fill out additional indemnification paperwork. Please click here to download the Legal Heir Affidavit and Indemnification Agreement. Please note that the Indemnification Agreement must be notarized and sent to the Settlement Administrator via mail at:

Niewinski v. State Farm
Settlement Administrator
P.O. Box 2677
Portland, OR 97208-2677

The Final Approval hearing will be on March 28, 2024 at 10:00 am CST. We do not know how long the Court's decision will take and do not know when and if checks will be mailed.


3. Where can I get the Legal Heir Affidavit and Indemnification notarized?

You can get a document notarized at various locations. Some common places to obtain a notary are:

  • Bank, credit union, or financial institution
  • Post office or office supply store
  • Library
  • Online notary service

4. Can I return the Legal Heir Affidavit and Indemnification Agreement by email?

No. The notarized Legal Heir Affidavit and Indemnification Agreement must be returned to the Settlement Administrator by mail at the following address:

Niewinski v. State Farm
Settlement Administrator
P.O. Box 2677
Portland, OR 97208-2677


5. Where can I get the Legal Heir Affidavit and Indemnification Agreement?

Please click here to download the Legal Heir Affidavit and Indemnification Agreement.