Group life insurance advance payment
Are you a plan administrator?
Use this form to support a plan member's claim to receive an advance lump sum of life insurance. 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.
Request an advance lump sum of your life insurance after a terminal diagnosis. Your employer and beneficiary will need to complete some form sections.