Proof of Death Claimant's Statement American General Life Insurance Company . The benefit for an accidental bodily injury is payable to an insured as long as the treatment is received within 72 hours from a qualified institution as defined by the policy. Please also include a copy of the 1500 HEALTH INSURANCE CLAIMS FORM or UB-04 form (only associated with hospital stays) and any itemized medical bills you would like to have considered for payment. Get great coverage at great prices, when your employer chooses to provide supplemental insurance products from Allstate Benefits. 800-294-4544, Quote Hotline File a claim for a doctor visit or other physician expenses you incurred while not on disability. 0000124730 00000 n You're not alone if you thought that the check from a life insurance policy would simply be mailed to you after the death of a loved one. Claimant Statement When you are ready to file an AD&D death claim, you can do so via: Dial1-800-779-5433Ext. This does not cover an approved leave for your own serious health condition. The death certificate confirms the cause and manner of death. Kansas City, MO, 64105, 800.231.0801 (Press 4 in prompts) 0000095449 00000 n American Memorial Life is part of Assurant Rapid City, SD 800-621-7162 Benefits Rated A- (excellent) by AM Best Commissions Paid Daily on Submit Annualization Available Simple Application - sample Voice Signature - for non-seen sales Downloads AMLIC 2020 Elite Council Qualification Info Agent Reference Guide Product Offering Final Expense Portfolio American Memorial Life Insurance They'll confirm the policy was active and send you their Claim Form. 0000003060 00000 n Complete sections A and C of the printable Proof of Death Claimant Statement. 0000055148 00000 n If you are not the beneficiary on the policy, you may be asked for the beneficiary's address. Other products and services referenced in this website, such as life insurance, annuities, health insurance, credit insurance, and pension products, are written through multiple companies. Phone: 800-289-2266. function gtag(){dataLayer.push(arguments);} CLAIM F ORM Page 2 of 2 To obtain the current death . 0000004842 00000 n Speak to one of our licensed agents today. Speak to one of our licensed agents today. File a claim for a critical illness event if you purchased an optional Critical Illness Rider with your disability insurance policy. When it comes to being smart about your money, a little knowledge could go a long way.
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