| Claim Type: | D - Death and ND - Non-Death claims such as Accidental Dismemberment, AB - Accelerated Benefit |
| Product: | BL - Basic Life, BA - Basic AD&D, AL - Additional Life, AA - Additional AD&D, DL - Dependent Life, SL - Supplemental Life, PL - Paid Up Life, VL - Voluntary Life, VA - Voluntary AD&D |
| Amount Paid: | Amount paid to date for each product |
| Last Date Paid: | Date last payment was amde on the claim |
| Claim Status: | Provides the overall status of the claim |
| Claimant Name | Claimant Nbr | Date Received | Claim Type | Product | Amount Paid | Last Date Paid | Claim Status |
|---|---|---|---|---|---|---|---|
| TOM ALTMAN | B01111 | mm/dd/yyyy | D | BL | 1,000.00 | mm/dd/yyyy | Closed |
| FRANCINE BIGGS | B02222 | mm/dd/yyyy | D | BL | 2,000.00 | mm/dd/yyyy | Closed |
| JOAN CARR | B03333 | mm/dd/yyyy | D | BL | 1,000.00 | mm/dd/yyyy | Active |
| HOWARD PATERSON | B04444 | mm/dd/yyyy | D | BL | 100.00 | mm/dd/yyyy | Active |
| SAM WILLIAMS | B05555 | mm/dd/yyyy | D | BL | 1,000.00 | mm/dd/yyyy | Closed |