NATIONAL FAMILY CARE LIFE
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 Download and Submit Your Claim Online


Our claims process is quick and easy

​

just download the necessary forms and submit them to us!

Step 1.      Download the forms you need

Just select the forms you need and download the form you need and complete all required information 
hospital claim form
life claim form
attending physician statement
medical release hipaa form
request for service form
request for duplicate policy form
name change form
life beneficiary change form
Recurring Payment Form

    Step 2.        Submit the forms to us!

    If you do not know your policy number, please call us at 1-800-527-0996
    Max file size: 20MB
    Max file size: 20MB
Submit

Step 3.          Let us do the rest!

Our Claims process is quick and easy! If you have any questions, we are available to help you! 

If you would like more information on the claims process, feel free to send us a message and we will be happy to assist you!

We pride ourselves on exceptional

​customer service!

We wil contact you as soon as we can! 

    Let How can we help you?

Submit
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Copyright © 2022
  • Forms
  • Our Products
    • Hospital Income
    • Heart
    • Cancer
    • Accident
    • Intensive Care
  • Agent Services
    • Employee Email Log-In
    • Career Opportunities
    • Agent Training Material
  • Portal Access Link
  • Wealth Care Admin