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Step of

Step of

File a claim

This form allows you to file a claim to receive an advance on the death benefit. It will take you about 10 minutes to complete and you will receive an initial follow-up within five business days once the claim is filed.

Prefer to file your claim by phone? Call 1 844 442-4636.

Your claim

Are you filing this claim for yourself?

Yes
No
Please make a selection.

In what capacity are you filing this claim?

I am the insurance policy owner
I am not the insurance policy owner
Please make a selection.

The insurance policy

If the claim pertains to more than one insurance policy, enter all policy numbers.

Cancel
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