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MEMBER BILLED OPTIONAL BENEFITS CLAIM FORM644 MAIN ST PO BOX 220 MONCTON NB E1C 8L3 FOR ALL INQUIRIES: TEL 18778498509 FAX 18006441722 life_claims@medavie.bluecross.caUse this form to make a claim

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How to fill out individual life claim form

01

Obtain the individual life claim form from the insurance company or website.

02

Provide personal information such as name, address, and policy number.

03

Fill out details of the deceased policyholder, including date of birth and date of death.

04

Attach a copy of the death certificate and any other required documentation.

05

Sign and date the form, and submit it to the insurance company for processing.

Who needs individual life claim form?

01

Beneficiaries of the deceased policyholder who are entitled to claim the life insurance benefits.

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What is individual life claim form?

Individual life claim form is a document to be submitted by the beneficiary or estate of the deceased policyholder to make a claim for life insurance benefits.

Who is required to file individual life claim form?

The beneficiary or estate of the deceased policyholder is required to file the individual life claim form.

How to fill out individual life claim form?

The individual life claim form should be filled out completely and accurately with all required information concerning the deceased policyholder and the beneficiary.

What is the purpose of individual life claim form?

The purpose of the individual life claim form is to request for the payment of life insurance benefits upon the death of the policyholder.

What information must be reported on individual life claim form?

The individual life claim form must include information such as the policyholder's name, policy number, date of death, cause of death, beneficiary's details, and any additional documentation required by the insurance company.

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