Get the free Life Claim Form - Assurant Health
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VoluntaryMart P.O. Box 2829 Clinton, IA 52733 Phone: 866-387-0484 Fax: 608-373-9503 Loss Of Life Beneficiary Statement A. When submitting a claim for benefits due to loss of life, submit the following
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How to fill out life claim form
To fill out a life claim form, you will need the following information:
01
The policyholder's name and policy number.
02
The date of the policyholder's death.
03
The cause of death.
04
The beneficiary's name and contact information.
05
Any relevant supporting documents, such as a death certificate.
5.1
Start by gathering all necessary documentation, including the death certificate, policy documents, and any other required paperwork.
5.2
Carefully read through the life claim form and ensure you understand each section and the information required.
5.3
Begin filling out the form by providing the policyholder's name, policy number, and other identification details as requested.
5.4
Specify the date of the policyholder's death and the cause of death. Provide any additional details or documents required to support the cause of death.
5.5
Ensure you have accurate and up-to-date contact information for the beneficiary. Include their full name, address, phone number, and email address.
5.6
Provide any additional information requested, such as the relationship between the policyholder and beneficiary, or any other relevant details.
5.7
Review the completed form thoroughly, making sure all information is accurate and complete. Double-check that all required documents are attached.
5.8
Sign and date the form where indicated, certifying that the information provided is true and accurate to the best of your knowledge.
5.9
Keep a copy of the completed form and supporting documents for your records, and submit the original form to the insurance company according to their specified instructions.
Who needs a life claim form?
01
Anyone who is the designated beneficiary of a life insurance policy needs a life claim form to initiate the process of filing a claim and receiving the policyholder's benefits.
02
The beneficiary can be a spouse, a child, a parent, or any individual or entity named in the life insurance policy to receive the death benefit.
03
It is essential to have a life claim form to ensure that the insurance company has the necessary information to evaluate the claim, process it efficiently, and distribute the policy proceeds to the rightful beneficiary.
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