WebComplete all sections of the Claimant’s Statement and sign where required. If there is more than one claimant, please ensure that a separate Claimant’s Statement is completed by each claimant. Copies can be made of this document. Important: Be sure to complete Section 3 requesting primary treating physician and medical facility information. http://sempainsurance.com/images/uploads/00304201-1034_Proof_of_Death.pdf

Proof of Loss Claimant Statement - Life Insurance - Genworth …

WebOur specialist will walk you through how to file your life insurance claim and what you should expect throughout the claims process. Call us for help at: 888-493-6902. Individual coverage only. If your policy is through your employer, call 1-800-775-8805. What to expect when filing a claim. 1. WebLife proof of death claimant’s statement 1. Policy number(s) List policy number(s) 3. Claimant information — Each beneficiary must complete their own Claimant’s Statement ... Life Insurance Company Administrative Office: One Sammons Plaza, Sioux Falls, SD 57193 Principal Office: West Des Moines, IA Phone: Fax:800-733-2524 877-841 ... mobility grand challenge

Who Is The Claimant On A Life Insurance Policy?

WebProof of Loss Claimant Statement for Life Insurance Page 3 of 5 Declaration and signature(s) By signing below, you: • Make claim to the proceeds and declare that … WebWhat should I do if I need to file a life insurance claim? Please contact the employer of the insured for next steps. ... Where do I submit my life claimant statement to? Mail: MetLife Group Life Claims. P.O. Box 6100. Scranton, PA 18505-6100. Fax:-1-570-558-8645. Email: [email protected]. Webseparate Beneficiary Claimant’s Statement. Each must be signed. (2) In completing a Beneficiary Claimant’s Statement, if the beneficiary’s name has been changed by marriage or otherwise, evidence of the marriage or other method of change must be attached. (3) A Death Certificate must be provided. A photocopy of an original death ... inkley cedar grove new jersey