UnitedHealthcare Request for Group Life Insurance Benefits 2014 free printable template
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UnitedHealthcare Specialty BenefitsUnitedHealthcare Insurance Company PO Box 7149
Portland, ME 041127149
18882992070
Fax: 18009800298REQUEST FOR GROUP LIFE INSURANCE BENEFITS
(PROOF OF DEATH FOR GROUP
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How to fill out UnitedHealthcare Request for Group Life Insurance Benefits
How to fill out UnitedHealthcare Request for Group Life Insurance Benefits
01
Obtain the UnitedHealthcare Request for Group Life Insurance Benefits form from your employer or the UnitedHealthcare website.
02
Carefully read the instructions provided on the form to understand the requirements.
03
Fill out the employee information section, including full name, contact details, and identification number.
04
Provide details about the deceased, including their relationship to you and their policy number.
05
Complete the claims section, detailing the circumstances of the death and attaching any necessary documentation (e.g., death certificate).
06
Review the completed form for accuracy and ensure all required fields are filled.
07
Sign and date the form where indicated.
08
Submit the form to the appropriate UnitedHealthcare address or claims department as instructed.
Who needs UnitedHealthcare Request for Group Life Insurance Benefits?
01
Employees who have enrolled in a group life insurance plan offered by UnitedHealthcare.
02
Beneficiaries of deceased employees who need to claim life insurance benefits.
03
Human resources personnel managing life insurance claims within an organization.
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What is UnitedHealthcare Request for Group Life Insurance Benefits?
The UnitedHealthcare Request for Group Life Insurance Benefits is a form that policyholders submit to initiate a claim for benefits under their group life insurance policy.
Who is required to file UnitedHealthcare Request for Group Life Insurance Benefits?
The beneficiary or the designated representative of the insured person is typically required to file the UnitedHealthcare Request for Group Life Insurance Benefits.
How to fill out UnitedHealthcare Request for Group Life Insurance Benefits?
To fill out the UnitedHealthcare Request for Group Life Insurance Benefits, complete the required fields on the form, providing all necessary information about the insured person, beneficiary details, and the circumstances of the claim.
What is the purpose of UnitedHealthcare Request for Group Life Insurance Benefits?
The purpose of the UnitedHealthcare Request for Group Life Insurance Benefits is to formally request the payout of benefits to a beneficiary following the death of the insured.
What information must be reported on UnitedHealthcare Request for Group Life Insurance Benefits?
Information that must be reported includes the insured person's details, policy number, beneficiary information, and any pertinent documentation regarding the claim, such as death certificates.
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