File a Life Insurance Claim

Life insurance claims cannot be completed online. Download a claim form below to file a life insurance claim by mail or fax.

Required Documentation

When filing a life insurance claim, you will need to mail or fax the following documentation:

  • Life Insurance Claim Form: Download, complete, and sign
  • Certified original death certificate of the deceased showing the Cause and Manner of Death
  • Completed IRS W-9 form for each payee (a copy of this form is included on the claim form)
  • A copy of the certified death certificate for the deceased beneficiary
  • If the insured has an Accidental Dismemberment and Paralysis benefit, please also complete the Accidental Dismemberment and Paralysis Claim Form.

 

Once completed, please mail or fax the documentation to:
American Fidelity Assurance Company
Life and Annuity - Worksite
P.O. Box 25160
Oklahoma City, OK 73125

 

Need help?

If you have questions about your policy visit the life insurance support page.