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Do you have an Individual or Group policy?
An individual policy is coverage purchased by you directly through an insurance agent.
A group policy/certificate is coverage that is offered and purchased through your employer.
For Group Policies/Certificates, please fill out the relevant Group Claim Form below and save it.
You will then be asked to upload the completed form along with any supporting documents.
Have a question?
Forms
INDIVIDUAL CLAIM FORMS
GROUP CLAIM FORMS
Note: In order to view and print the above forms, you will need to have Adobe Reader®, which is available FREE from Adobe®. Click on the icon below to download.
