Notice of Disability

We are sorry that you or the insured has experienced an unexpected change in health. We recognize how difficult this can be and we are here to provide assistance during the claims process. To begin, we need some initial information from you. Upon receipt of the information, a personalized claim kit will be sent to the insured. This kit contains the forms and instructions needed to file a claim.

Note: Only one notification is necessary to inform Northwestern Mutual of a disability claim.

If you have any questions, call Client Services at (800) 748-9493, between – CST.

Notice of Disability Claims Form
Insured information

Insured information

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Preferred method of written communication
Mailing address for insured

Mailing address for insured

Send claims forms to the insured at above address?
Disability information

Disability information

Disability notification preparer information

Disability notification preparer information

Disability notification completed by