Claim Forms

Refer to the most commonly asked questions below. We’ve provided a link for each question and you’ll find the forms on each of the corresponding pages. We have provided all forms as PDF Fill-in forms. The required signatures on each form cannot be provided electronically. Please fill-in and print the form, obtain all required signatures and fax or mail the form to our office. If you don’t see your question listed below, please e-mail it to Customer Service.

How do I submit my Health Claim?

Health Claim Form (except TransConnect) TransConnect
Continuing Disability Income Insurance Benefits Claim Form

How do I submit my Life Claim?

Universal or Whole Life Voluntary Group Term, Basic Group Term or Accidental Death and Dismemberment