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  • Usable Death Claim Form - Advantage Benefits Group

Get Usable Death Claim Form - Advantage Benefits Group

For H.O. Use Only Proof of Death Eff PTD Attention: Claims Department Please use blue or black ink to complete. P.O. Box 1650 Little Rock, Arkansas 72203-1650 Telephone (800) 370-5856 E-mail: claims.

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How to fill out the USAble Death Claim Form - Advantage Benefits Group online

Filing a death claim can be a challenging process during a difficult time. This guide aims to provide clear, step-by-step instructions on how to complete the USAble Death Claim Form - Advantage Benefits Group online, ensuring that you have the necessary information at hand to facilitate a smooth claims process.

Follow the steps to successfully complete the USAble Death Claim Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred format.
  2. Complete the employer's statement section. Enter USAble Life's group number and the certificate/ID number. Provide the name, date of birth, address, city, state, and zip code of the employee. Include the date employed and the date on which the employee was last actively at work.
  3. Indicate the reason the employee stopped working by selecting from the provided options: death, disability, retirement, or termination of employment, and specify the date of death.
  4. In the claims section, check all applicable boxes and enter the amounts for basic group term life and supplemental/voluntary group term life.
  5. Respond to the questions regarding the circumstances of the deceased's death, such as if the death was due to a motor vehicle accident, ensuring to provide any necessary details.
  6. Include the employer's information: name, telephone, title, and address, followed by obtaining the necessary signature and date.
  7. Proceed to the authorization to obtain information section, indicating the relationship to the deceased, providing your signature and the date.
  8. Complete the beneficiary's statement, ensuring to print the name, date of birth, social security number, relationship to the deceased, address, and daytime telephone number.
  9. Finish by reviewing the entire form for accuracy, making any necessary corrections, and ensuring all required parts are filled out.
  10. Save your changes, download, print, or share the completed form as needed.

Start completing your USAble Death Claim Form online today for a more efficient claims process.

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Contact support

You may pay your bill via bank draft, monthly, quarterly, semi-annually, or annually. Please email Customer Care at custserv@usablelife.com or call 800-370-5856 for further assistance.

Our Customer Care team is happy to check your claim status for you. Call at your convenience, Monday through Friday, 8:00 a.m. to 5:00 p.m. CST at 800-370-5856, or email custserv@usablelife.com.

You may also notify us by phone by calling 609-292-7060.

How to Apply for Short Term Disability in Canada? Step 1: Collect essential information. ... Step 2: Complete the online application. ... Step 3: Provide required documents. ... Step 4: Receive benefit statement and access code. ... Step 5: Check your application status.

Long-term disability (LTD) insurance is a type of insurance policy that can provide financial benefits to an employee who is unable to work for a long period due to an accident, illness, or injury. This type of insurance coverage provides the employee with a portion of their income while they're absent from work.

Apply by phone: Call SSA at 1-800-772-1213 from 7 a.m. to 7 p.m. Monday through Friday. Apply in person: Visit your local Social Security office. (Call first to make an appointment.)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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