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Get the free GROUP LIFE CLAIMANT STATEMENT

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This document contains both information and form fields. To read information, use the Down Arrow from a form field. For Canada Life Head Office Use Only Canada Life Certificate NumberGROUP COVERAGE
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How to fill out group life claimant statement

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How to fill out group life claimant statement

01
Obtain the group life claimant statement form from the insurance company or employer.
02
Fill out the claimant's personal information, including name, address, contact details, and social security number.
03
Provide details of the deceased policyholder, such as their name, policy number, and date of death.
04
Include information about the relationship between the claimant and the deceased, such as spouse, child, or beneficiary.
05
Answer any additional questions on the form regarding the circumstances of the death or the claimant's eligibility for benefits.
06
Sign and date the form before submitting it to the insurance company or employer for processing.

Who needs group life claimant statement?

01
Any individual who is making a claim for group life insurance benefits following the death of the policyholder.
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The group life claimant statement is a form that needs to be filled out by the beneficiary of a deceased member of a group life insurance policy to claim the benefits.
The beneficiaries of a deceased member of a group life insurance policy are required to file the group life claimant statement.
The group life claimant statement can be filled out by providing personal information of the beneficiary, details of the deceased member, and any other required information specified on the form.
The purpose of the group life claimant statement is to process the claim for the benefits under the group life insurance policy upon the death of a member.
The group life claimant statement must include personal information of the beneficiary, details of the deceased member, policy information, and any additional documents required by the insurance company.
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