How do I get a claim form?

You may download claim forms here. You must first select a product type; then select your industry and state of residence, to insure you receive the proper claim form.

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Quick Access

  • Your Account

    View your policies, download forms and check the status of your claims - all in one spot!

  • 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:

  • Check Claim Status

    Select link below:

    Claim StatusFlex Claim Status
  • FAQs

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