Assurant Employee Benefits

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Filing a Claim

 

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Filing a long-term disability or short-term disability claim

If an insured under an Assurant Employee Benefits Long-Term or Short-Term policy becomes disabled, a claim should be submitted using these forms. Both the LTD and STD claim statement forms have detailed instructions to assist you.

Filing a life claim

If a person insured under a Assurant Employee Benefits Group Life insurance policy dies, a claim should be submitted using the Life Claim Statement. For life insurance claims, the following is also required: a certified copy of the Death Certificate, the Employee Application and beneficiary changes (if maintained by the policyholder).

There are some situations where additional information might be required:

If the beneficiary is a minor: submit certified letters of guardianship for the minor's estate.

If the beneficiary is the estate, submit certified letters of testamentary appointing the Executor/Administrator of the estate.

If the claim is incurred within the first three months of coverage, payroll records or other proof of active work will be required.

Filing a life disability claim

If a person insured under an Assurant Employee Benefits Group Life insurance policy becomes disabled (and the policy has a life insurance disability benefit), a claim should be submitted using the Life Disability Claim Statement. This benefit is commonly known as a "waiver of premium" benefit.

Filing a dental claim

The Dental Claim Form should be used to file a claim when dental services are rendered on an insured. The claim form is completed by the dentists and mailed to the Benefit Center on the back of the insured's Assurant Employee Benefits Dental ID card. You can also obtain the correct mailing address by calling us at 800.442.7742.

Filing a group dependent life insurance claim

If a dependent person insured under Assurant Employee Benefits Group Life Insurance policy dies, a claim should be submitted using the Dependent's Life Claim Statement. The following is also required: a certified copy of the death certificate and a copy of the Employee Application.

Filing an accidental dismemberment claim

If a person insured under a Assurant Employee Benefits Group Life Insurance policy suffers a dismemberment loss, a claim should be submitted using the Accidental Dismemberment Claim Statement. The following is also required: a copy of the Employee Application and copies of medical records pertaining to the accidental injury