File For A Waiver Of Life Insurance Premium

You are applying for a waiver of your life insurance premium while disabled and you have benefits through your employer’s plan.

The easiest way to file for a waiver of life insurance premium is online. Simply create an account and choose File a Claim after you’ve logged in. Please note that you will need your policy number to complete the form. Your benefits administrator can provide this if you don’t know it.

You may also file by mail by completing and returning a paper claim form.

About The Claim Process

Most claim requests will require additional documentation to evaluate your claim and make a benefit decision. After you submit the claim online, you will receive a list of next steps that identify which additional forms or documents are required. Depending on your claim, we may need one or more of the following.

  • An Employer's Statement is completed by your employer and tells us details about your employment.
  • An Attending Physician’s Statement is completed by your doctor and tells us more about your disability.
  • An Authorization to Obtain Information is completed by you and allows us to obtain additional medical records related to your claim.