How do I file a claim for Disability Coverage?

We must receive:

  1. a completed claim form, which must be completed in full and signed by you, your employer and the attending physician. Please note that failure to have all three sections completed and signed by the appropriate parties will result in a delay in processing your claim.

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  • Claim & Flex Forms

    1Select the forms you need:

    Flex Benefits
    Accident Benefits
    Cancer Benefits
    Critical Illness
    Disability Benefits
    Hospital Indemnity
    Life Benefits
    Medical (GAP)
    HRA Benefits

    2Select your state & industry:

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