Request for Conversion Form
Posted by Mary Beth Brown on April 24, 2019
Archives
Accident and Healthcare Indemnity Claim Form
Posted by Tina Schneider on May 21, 2018
Prescription Benefit Claim Form
Posted by Kim Clendenin on May 16, 2018
Policy Change Form
Posted by Mary Beth Brown on April 7, 2016
Silver Premier (Final Expense) customers: Please use the following form. For Worksite/Group customers (all products NOT including Final Expense), please us the following form.
Claims Forms
Posted by Mary Beth Brown on March 31, 2015
Need to file a claim? See below forms for Prescription Benefit and Accident and Healthcare Indemnity claims. If you have a worksite/group (Family Protection Plan, Critical Illness, Group Life) claim please call 1-866-863-9753. If you have a final expense claim please call 1-800-776-2322.
Product Brochures/Flyers
Posted by Mary Beth Brown on March 12, 2015
Want more details on our products? Download our product brochures or flyers, available in English and Spanish.