Download and Submit Your Claim Online

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Our claims process is quick and easy

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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

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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!

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We pride ourselves on exceptional

​customer service!

We wil contact you as soon as we can!