Skip to main content

Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.

Group life insurance claims

Are you a plan administrator?

Use this form to support a life insurance claim for a plan member in your workplace plan. You'll find instructions on how to return the completed form on the form itself.

Download a form

Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window - Opens in a new window (not your browser) and save.

Not what you’re looking for? Find the forms you need.

I'm a plan administrator

Find a form

All forms

Find a form