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INVESTORS HERITAGE Life Insurance Company 200 Capital Avenue P.O. Box 717 FRANKFORT, KENTUCKY 40602 (800) 422-2011 Fax: (502) 223-6575 CLAIM NUMBER: Reset Form APPLICATION FOR CONTINUANCE OF DISABILITY
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How to fill out continuation claim forms for
How to fill out continuation claim forms for:
01
Obtain the continuation claim forms from your insurance provider or download them from their website.
02
Start by entering your personal information such as name, address, contact number, and policy number in the designated fields.
03
Provide details about the initial claim by including the claim number, date of the original claim, and a brief description of the claim.
04
Specify the reason for the continuation claim. This could be due to ongoing medical treatment, additional expenses, or any other relevant reasons.
05
If applicable, attach any supporting documentation such as medical records, receipts, or invoices that are necessary to validate the continuation claim.
06
Fill in the requested information regarding the additional expenses or services you are claiming for, including dates, descriptions, and amounts.
07
Ensure that all information provided is accurate and complete before submitting the continuation claim forms to your insurance provider.
Who needs continuation claim forms for:
01
Individuals who have filed an initial claim with their insurance provider and require further coverage or payment for ongoing expenses related to the original claim.
02
Policyholders who have experienced a change in their health condition, necessitating additional medical treatment or support that is not covered by their initial claim.
03
Those who have incurred supplementary expenses due to unforeseen circumstances after the initial claim was submitted, such as property damages or loss.
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What is continuation claim forms for?
Continuation claim forms are used to continue receiving benefits or services from a program or organization.
Who is required to file continuation claim forms for?
Individuals who wish to continue receiving benefits or services from a program or organization are required to file continuation claim forms.
How to fill out continuation claim forms for?
Continuation claim forms can be filled out either online, by mail, or in person at the office of the program or organization providing the benefits or services.
What is the purpose of continuation claim forms for?
The purpose of continuation claim forms is to ensure that individuals continue to meet eligibility requirements for receiving benefits or services.
What information must be reported on continuation claim forms for?
Information such as income, employment status, and household size may need to be reported on continuation claim forms.
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