Get the free WORKSITE NY LIFE CLAIM FORM - 05-2013 - LBdoc

Combined Insurance Worksite Solutions A unit of Combined Life Insurance Company of New York Claim Department PO Box 6700 Scranton, PA 185050700 Telephone 18884417936 Fax 3123516930 Claim Number: Beneficiary

How to fill out worksite ny life claim

How to fill out worksite NY life claim:

1. Obtain the necessary claim forms: Contact your worksite NY life insurance provider to request the appropriate claim forms. They may be available for download from their website or can be mailed to you.
2. Gather required information: Collect all the necessary information needed to complete the claim forms. This may include personal details such as the policyholder's name, address, social security number, and policy number. You may also need to provide information about the insured person, such as their date of birth and cause of death.
3. Provide supporting documents: Attach any supporting documents that may be required for the claim. This may include a death certificate, medical records, or any other relevant documents. Make sure to make copies of all the documents for your own records.
4. Fill out the claim forms accurately: Carefully fill out all sections of the claim forms. Ensure that all the information provided is accurate and up to date. Double-check the forms for any errors or missing information before submission.
5. Sign and date the forms: Once you have completed all the necessary sections of the claim forms, sign and date them. By signing, you acknowledge that all the information provided is true and accurate to the best of your knowledge.
6. Submit the claim forms: Send the completed claim forms, along with any supporting documents, to your worksite NY life insurance provider. Make sure to follow their instructions for submission, whether it is through mail or online.

Who needs worksite NY life claim:

1. Employees with worksite NY life insurance coverage: Individuals who have acquired worksite NY life insurance through their employer are eligible to file a worksite NY life claim. This insurance coverage provides financial protection to the employee and their beneficiaries in the event of the insured person's death.
2. Beneficiaries of the insured person: The beneficiaries named in the worksite NY life insurance policy are the ones who need to file the claim. These could be the spouse, children, or any other individuals designated by the insured person to receive the life insurance payout upon their death.
3. Legal representatives: In some cases, if the beneficiary is a minor or unable to handle the claim process themselves, a legal representative may need to file the worksite NY life claim on their behalf. This could be a guardian, trustee, or an attorney appointed to handle the beneficiary's financial affairs.

It is crucial to understand the specific requirements and procedures outlined by your worksite NY life insurance provider to ensure a smooth and efficient claim process.

For pdfFiller’s FAQs

What is worksite ny life claim?

Worksite NY life claim is a claim filed by a beneficiary to receive the benefits of a life insurance policy from a deceased policyholder who had coverage through their employer.

Who is required to file worksite ny life claim?

The beneficiary or beneficiaries named on the life insurance policy are required to file the worksite NY life claim.

How to fill out worksite ny life claim?

To fill out a worksite NY life claim, the beneficiary must contact the insurance company, provide necessary documents such as the death certificate and policy information, and complete the claim form provided by the insurer.

What is the purpose of worksite ny life claim?

The purpose of worksite NY life claim is to request the benefits of a life insurance policy after the death of the policyholder.

What information must be reported on worksite ny life claim?

The worksite NY life claim must include information such as the policy number, details of the deceased policyholder, beneficiary information, cause of death, and any other relevant details requested by the insurance company.

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