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Instructions for Filing a Group Life (or Dependent Life) Claim To the Administrator: A claim for Group Life Insurance benefits should be submitted to Assurance Employee Benefits as soon as notice
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How to fill out life claim statement

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How to Fill Out a Life Claim Statement:

01
Gather the necessary documents: Before starting to fill out a life claim statement, make sure you have all the relevant paperwork in front of you. This may include the policyholder's death certificate, the policy document, and any other supporting documents required by the insurance company.
02
Contact the insurance company: Reach out to the insurance company and inform them about the policyholder's passing. They will guide you through the claims process and provide you with the necessary forms, including the life claim statement.
03
Review the life claim statement: Take your time to carefully go through the life claim statement form. Read the instructions and understand what information is being asked for in each section.
04
Personal details: Begin by filling in your personal details as the claimant. This will include your name, address, phone number, and relationship to the deceased policyholder.
05
Policy information: Provide the policy details such as the policy number, type of policy, and the name of the insurance company.
06
Cause of death: Indicate the cause of death on the form as accurately as possible. This information may be obtained from the death certificate.
07
Beneficiary information: Identify and provide the necessary information for each beneficiary named on the policy. This typically includes their full name, relationship to the deceased, and contact details.
08
Supporting documentation: Attach all the necessary supporting documents as required by the insurance company. This may include the death certificate, proof of identification, and other relevant paperwork.
09
Review and submit: Double-check all the information you have provided on the life claim statement form. Ensure that it is accurate and complete before signing and submitting it to the insurance company.

Who Needs a Life Claim Statement:

01
Beneficiaries: Beneficiaries of a life insurance policy need to fill out a life claim statement to initiate the process of receiving the death benefit. This may include family members, spouses, or anyone else named as a beneficiary on the policy.
02
Estate Executors: If the policyholder did not name a beneficiary or their estate is the designated beneficiary, the estate executor or administrator would be responsible for filling out the life claim statement.
03
Funeral Homes or Trusts: In certain cases, funeral homes or trusts may need to complete a life claim statement on behalf of the beneficiary to cover funeral expenses or burial costs.
Remember, it is always recommended to consult with the specific insurance company or seek professional guidance to ensure that you are filling out the life claim statement accurately and according to their requirements.

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Life claim statement is a formal request submitted by a beneficiary or policyholder to an insurance company to receive the benefits of a life insurance policy upon the insured's death.
The beneficiary or policyholder is required to file the life claim statement in order to receive the benefits of a life insurance policy.
The life claim statement can be filled out by providing the necessary information about the insured, the policy, and the beneficiary, and submitting it to the insurance company.
The purpose of the life claim statement is to formally request the benefits of a life insurance policy upon the insured's death.
The life claim statement must include information such as the insured's name, policy number, cause of death, beneficiary information, and any other relevant details.
The deadline to file a life claim statement in 2023 may vary depending on the insurance company and policy terms. It is important to contact the insurance company for specific deadline information.
The penalty for late filing of a life claim statement may include delayed processing of the claim, potential denial of benefits, or in some cases, forfeiture of the benefits altogether. It is important to file the claim within the specified time frame to avoid any penalties.
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