Life Insurance Support
Life Insurance Claim Form
File a claim to receive a death benefit for an insured.
Accidental Dismemberment and Paralysis Claim Form
File a claim to receive a benefit for accidental dismemberment or paralysis if you purchased an additional rider with your policy.
Accelerated Benefit for Critical Illness Claim Form
File a claim to receive a portion of a life insurance benefit in advance due to a covered critical illness.
Accelerated Benefit for Long-Term Illness Claim Form
File a claim to receive a portion of a life insurance benefit in advance due to a covered long-term illness.
Life Benefit Waiver of Premium Form
If you become totally disabled and you purchased an optional Waiver of Premium Rider for your policy, complete this form to apply for a waiver of premium for your base policy.
Frequently Asked Questions
Life insurance is an important piece of a strong financial plan. In the event of you passing away, you would want your family to be protected. Life insurance can help supplement your lost wages and help your family with expenses like a mortgage, college tuition and other debt.
To change your beneficiary, download and complete the Beneficiary Change Form. The form requires a witness signature to complete.
You may obtain a copy of your policy through your online account. Once you are logged in, under Benefits, select the policy name you with to view. Then, select View Policy Document.
Note: If you are unable to obtain a copy of your policy through your online account, please call us at 800-662-1113 for additional assistance.
If your term period has expired, coverage will automatically renew up to the maximum age stated in your policy, and you will receive a letter informing you about your new premium rate.
All U.S. beneficiaries are required to fill out a W9 form to comply with tax regulations. The benefit for a life insurance policy is non-taxable, but the interest may be taxable if it exceeds $600. Even if the interest amount is less than $600, a W9 form is required.
American Fidelity can only release benefit information to the named beneficiary after the insured has passed.
No, if one beneficiary has submitted all necessary requirements, we can move forward with paying their portion of the benefit. We will not be able to release payment to an individual beneficiary until their requirements have been submitted.
If legal affidavits are required in order to confirm the surviving heirs, American Fidelity must wait until all completed and notarized affidavits are returned before we can move forward with payment.
If the claim is payable, the location of the death will not impact the payment.
Exclusions and limitations are provided within your policy. You may obtain a copy of your policy through your online account.
Life Insurance Claims
If you’re a beneficiary who has recently lost a loved one or an insured who is suffering from a serious illness or accident, we want to make the claims process as easy as possible.
Documentation Needed to File a Claim
Life insurance claims cannot be filed online and must be mailed or faxed. You’ll need to provide these documents:
- 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 the certified death certificate for the deceased beneficiary
- To have your claim benefit direct deposited, please complete the direct deposit form
- Additional documentation may be needed. Please view the forms under the Life Insurance Claim Forms section.
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
Fax Number: 800-818-3453
What's the difference in life insurance types?
Life insurance is an important piece of a strong financial plan. Watch this short video to learn about the different types of life insurance American Fidelity offers.