A filing process that’s easy. Even in the most difficult times.

There are few things harder than a death in the family, and it can feel overwhelming to make important financial and legal decisions when you’re grieving. We’re here to help whenever you are ready. For now, we encourage you to read through this straightforward guide for managing the bereavement process. 

As you prepare to complete the information below, you may also want to read through some Frequently Asked Questions about death benefit proceeds. 

If we can be of any further assistance, please let us know. We’re here to help.

 

Initiate a Request
Thank You! Please complete and submit the form.
Policy numbers do not contain symbols and should contain at least 8 characters, please re-enter a policy number containing numbers or a combination of letters and numbers containing at least 8 characters.
Please enter a valid policy number of at least 8 characters.

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Please enter the first name of the deceased
Please enter the last name of the deceased
Please enter the date of death
Please choose the cause of death
Contact Information
Yes
No
Not Sure
Please choose if you are the Beneficiary

A Death Benefits Proceeds form will be sent to you only if you are the beneficiary or the beneficiary's authorized representative (such as an attorney or as a guardian for a minor). A letter is required from an authorized representative stating that he/she is representing the beneficiary.

If you are not the beneficiary or beneficiary's authorized representative, please be assured that we will search our policy records. In the event that the deceased insured had a policy with us, we will begin the claim process and contact the beneficiary listed on our policy records.

Please choose your relationship to the deceased
Yes
No
Please enter if you will provide forms to deceased
Yes
No
Please enter if you will deliver proceeds to deceased
Please enter your first name
Please enter your last name
United States
Other
Please enter your address
Please enter your city of residence
Please enter your state of residence
Please enter a valid 5 digit zip code
Please enter daytime telephone number
Please enter a valid email address
Funeral Home Information

Providing the information below may help expedite the processing of the claim.

United States
Other
Other Information

Please use this part of the form to enter in any other information you feel we should have.

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