UnitedHealthcare Request for Group Life Insurance Benefits 2018-2025 free printable template
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UnitedHealthcare Specialty Benefits UnitedHealthcare Insurance Company PO Box 7149 Portland, ME 041127149 18882992070 Fax: 18009800298 Unsecured Email: FPCustomerSupport UHC.request FOR GROUP LIFE
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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
Fill out the policyholder's information, including name, policy number, and contact details.
03
Provide the personal information of the insured individual, including their name, date of birth, and Social Security number.
04
Indicate the reason for the claim, such as death or terminal illness, and provide required documentation.
05
Complete the sections regarding beneficiaries, specifying who is entitled to the benefits.
06
Sign and date the form, ensuring all information is accurate and complete.
07
Submit the form and any required documentation to UnitedHealthcare via the provided submission methods, such as by mail or electronically.
Who needs UnitedHealthcare Request for Group Life Insurance Benefits?
01
Individuals who are policyholders or beneficiaries under a group life insurance policy offered by UnitedHealthcare.
02
Family members of deceased individuals who had a group life insurance policy.
03
Employers or human resources departments assisting in processing claims for employees.
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What is UnitedHealthcare Request for Group Life Insurance Benefits?
The UnitedHealthcare Request for Group Life Insurance Benefits is a form used to initiate a claim for benefits after the death of a covered individual, facilitating the process for beneficiaries to receive the life insurance proceeds.
Who is required to file UnitedHealthcare Request for Group Life Insurance Benefits?
Beneficiaries of the deceased individual who were covered under the group life insurance policy are 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 form, beneficiaries should provide the necessary personal information, details about the deceased, the insurance policy number, and documents proving the relationship to the deceased, as well as any additional required information.
What is the purpose of UnitedHealthcare Request for Group Life Insurance Benefits?
The purpose of the form is to request payment of life insurance benefits to eligible beneficiaries following the death of an insured individual under a group life insurance policy.
What information must be reported on UnitedHealthcare Request for Group Life Insurance Benefits?
The information that must be reported includes the deceased's personal details, the policy number, the beneficiary's information, the cause of death, and any other documentation that verifies eligibility for the claim.
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