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  • Gl0016e Form

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Life Claim Please see instructions on page 2 for completing this form. The Manufacturers Life Insurance Company Page 1 of 10 GL0016E 06/2005 Instructions for completion requirements PLAN MEMBER LIFE CLAIM please print all answers DEPENDANT LIFE CLAIM please print all answers Complete page 3 4 of this form Plan administrator complete and sign section 1 Claimant complete and sign section 2.

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0:15 2:06 How to submit claims online - YouTube YouTube Start of suggested clip End of suggested clip Back. Now we need to know who provided the service. If they're already in our system select theirMoreBack. Now we need to know who provided the service. If they're already in our system select their name from the list. If it's a new service provider enter their information into the system.

Online. If you're an individual beneficiary: complete online. If you're a trust or entity: complete online. Email to INDlifeclaims@metlife.com. Fax to 1-908-655-9586. Mail via USPS to the address provided on your claim kit.

Here's how: File a request. Enter your Policy Number, select a claim category, and upload supporting documents. Receive updates via Email​ You will receive an email notification if you need to submit additional documents or if your request has been approved or denied, within 5-7 business days.​ Receive your benefit​

Visit mybenefits.metlife.com or download the MetLife Mobile App to view your certificate of insurance and to initiate your claim* or call 866-626-3705 to obtain a claim form*. Answer some questions about your claim and upload your medical documentation to support your claim. The whole process takes just minutes!

Submit your claim online: Within 12 months of the date you were charged. After you've paid more than any deductible in your plan. Specify the currency if your claim is for services outside Canada. Hold onto receipts and applicable supporting documentation for 12 months.

Contact your insurer as soon as possible and ask them to send you a claim form. They may be able to email this to you to speed things up. Complete the claim form carefully and keep a copy for yourself. You'll need to include copies of all paperwork that will help your claim, including receipts or medical certificates.

Log in to the Manulife Mobile app, from the main navigation select submit a claim. The phone icon will scale down to the right side of the screen then a new interface will slide in from the right while the “Claim type” text will fade in at the left side of the screen. Choose your claim type.

Extended Health Care Claim- Group Benefits | Manulife.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232