Get the free BASIC GROUP LIFE CLAIM FORM

BASIC GROUP LIFE CLAIM FORM Please Fax to 412 963-0415 or Mail to Provident Agency Inc* P. O. Box 11588 Pittsburgh PA 15238 Telephone 1-800-447-0360 Fax 412 963-0415 Please send the following documents to UnumProvident Corporation when submitting a claim For a Life Claim A completed basic Group Life claim form A copy of the death certificate a photocopy is acceptable The original enrollment form and any beneficiary change form s Appropriate salary verification/documentation see requirements...

How to fill out basic group life claim

How to fill out BASIC GROUP LIFE CLAIM FORM

1. Obtain the BASIC GROUP LIFE CLAIM FORM from your employer or insurance provider.
2. Read the instructions carefully to ensure you understand the requirements.
3. Fill in the claimant's personal information, including name, address, and contact details.
4. Provide the deceased's information, including their name, date of birth, and date of death.
5. Include details of the policy number and any other relevant policy information.
6. Attach necessary documents such as the death certificate and any required identification.
7. Sign and date the form to certify that the information provided is accurate.
8. Submit the completed form and attachments to the insurance provider.

Who needs BASIC GROUP LIFE CLAIM FORM?

1. Beneficiaries of employees who have passed away and are entitled to claim life insurance benefits.
2. Individuals responsible for managing the estate of the deceased who need to collect due benefits.

People Also Ask about

How to claim group life insurance?

If your life insurance is through The Standard, the easiest way to file a claim is to contact the group policyholder. This is generally the employer or association where the coverage was offered. They will be able to provide you with the information needed to ensure your claim is processed quickly and accurately.

How do I fill out a health insurance claim form?

Typical sections of a claim form: Personal information like your name, address and date of birth. Insurance information such as a policy and group number. Reason for your visit including background information about your condition. Provider information including the doctor's name and address.

What is the basic group life insurance?

Many employers provide two kinds of group term life insurance to employees: basic and supplemental. Basic coverage is paid for by the employer, but it may be limited. It could be a specific amount (for example, $10,000) or tied to earnings (for example, 1X or 2X salary).

How to fill out a life insurance claim?

Steps to make a life insurance claim Figure out which life insurance company holds the policies. First, identify the policyholder's insurer. Get the policyholder's certified death certificate. File the claim with the insurer. Choose how you'll receive the payout. Receive the death benefit payout.

How to fill out a life insurance claim form?

Complete & Submit the Claim Paperwork The name and Social Security Number (SSN) of the deceased. A short description of the cause of death. Your information as the beneficiary receiving the death benefit, such as your name, address, SSN and relationship to the deceased. How you would like to receive the death benefit.

For pdfFiller’s FAQs

What is BASIC GROUP LIFE CLAIM FORM?

The BASIC GROUP LIFE CLAIM FORM is a document used to initiate a claim for benefits under a group life insurance policy following the death of an insured individual.

Who is required to file BASIC GROUP LIFE CLAIM FORM?

Typically, the beneficiary or a family member of the deceased insured is required to file the BASIC GROUP LIFE CLAIM FORM.

How to fill out BASIC GROUP LIFE CLAIM FORM?

To fill out the BASIC GROUP LIFE CLAIM FORM, the claimant must provide accurate personal information about the deceased, details of the insurance policy, and any required supporting documentation such as a death certificate.

What is the purpose of BASIC GROUP LIFE CLAIM FORM?

The purpose of the BASIC GROUP LIFE CLAIM FORM is to formally request the disbursement of life insurance benefits due to the death of an insured member under a group policy.

What information must be reported on BASIC GROUP LIFE CLAIM FORM?

The BASIC GROUP LIFE CLAIM FORM must report information such as the insured individual's name, date of birth, date of death, policy number, and claimant's details, along with any relevant supporting documentation.