We're here for you

We made you a promise that you can count on us whenever you need us, and we're here for you now. We know this is likely a difficult time, so whether you're dealing with a death, accident, or illness, we'll make the claims process as smooth and swift as possible. We understand how overwhelming this can all be, and we're here to help. Whenever you're ready.

Claims forms: What you can expect

Report a death claim

See what you can expect during the claims process:

Download beneficiary checklist (pdf) › Additional resources ›

Report a disability claim

See what you can expect during the claims process:

Report a long-term care claim

See what you can expect during the claims process:

Download qualified expenses (pdf) › Download appropriate providers of care (pdf) › Download when your care needs change while on claim (pdf) › Download Provider Change Request (pdf) › Download Independent Provider Professional History (pdf) › Download EFT Authorization to Download Electronic Funds Transfer Authorization (pdf) › Download COB Other Coverage to Download Coordination of Benefits Other Coverage (pdf) › Download Authorization to Obtain and Disclose (pdf) › Download Authorization to Discuss (pdf) › Download Authorization HIPAA (pdf) › Download Assignment of Benefits Letter and Form (pdf) ›

Important: To protect your confidential information, please be sure to use our email encryption service if you send us your completed claim forms by email. This service can be accessed from the secure email link we sent you. Don't have the link? Please contact us and we will send it to you.

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Can't find your policy?

If you've misplaced or lost your life, disability, or long-term care policy documents, call us at (800) 388-8123 and we'll get them to you.