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  • Annuity Claim Form - New Era Life

Get Annuity Claim Form - New Era Life

Name of Deceased Policy #?s P.O. Box 4884 Houston, TX 77210-4884 INDIVIDUAL ANNUITY- CLAIMANT STATEMENT Before completing this statement, please read instructions carefully INSTRUCTIONS: 1. This form.

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How to fill out the Annuity Claim Form - New Era Life online

Filing an annuity claim can be a straightforward process if you understand the necessary steps. This guide will provide clear instructions on how to accurately complete the Annuity Claim Form from New Era Life online, ensuring a seamless submission.

Follow the steps to fill out the Annuity Claim Form online

  1. Click ‘Get Form’ button to obtain the form and open it in the appropriate editor.
  2. Enter the full name of the deceased in the designated field.
  3. Provide the full residential address of the deceased at the time of their death.
  4. Fill in the date of birth of the deceased in the specified format.
  5. Indicate the place of birth of the deceased.
  6. Record the date of death and ensure you enter it correctly.
  7. State the place of death.
  8. Attach a certified copy of the death certificate and indicate whether the policy is attached or lost.
  9. In the beneficiary section, complete the beneficiary's full name and their residential address.
  10. If the beneficiary is an individual, fill in their date of birth and home telephone number.
  11. Select the relationship to the deceased from the provided options.
  12. Enter the social security number of the beneficiary if applicable; if the beneficiary is a trust or corporation, provide their tax identification number.
  13. Indicate the requested type of settlement by selecting one of the options.
  14. Complete the federal tax section by selecting whether to have taxes withheld and entering the appropriate information.
  15. Sign the form, including the date, to certify that all information provided is true and correct.
  16. Finally, save changes to the form, then proceed to download or share it as needed.

Complete your Annuity Claim Form online today to ensure your claim is processed efficiently.

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New Era is a leader in providing Medicare Supplement Insurance to customers at affordable and stable premium rates. Normally, you must be enrolled in Medicare Part A and Part B.

All you have to do is fill out the information about the policyholder which includes details like the cause of death and the policy number. Then, you'll fill out a bit of information about yourself as the beneficiary and send the claim form with the policy document and death certificate back to the insurance provider.

You can choose to get the death benefit in a lump sum or annuity installments. You need policy information, proof of death, and personal ID to file a claim.

How to Claim a Life Insurance Policy Contact the insurance company or agent. They should be able to explain their process for filing a claim. ... Get copies of the death certificate. Make sure you get certified copies from the funeral director. ... Fill out the paperwork and send it in. ... Specify how you want to be paid.

Philadelphia American is a subsidiary of the larger New Era Life Insurance Company. New Era specializes in health insurance and also offers Medicare Supplement insurance. Their offices are located in Houston, Texas. They offer Medicare Supplement insurance all over the United States.

If you have a question concerning a specific claim please call us at 800.552. 7879 Extension 1122.

You will need to send the insurer some documents, including a copy of the person's death certificate. When the insurer has agreed to pay the claim, payment can be made in two ways: If the policy was 'written in trust', the insurance company will pay the money to whoever was named as the beneficiary.

Beneficiaries file a death claim with the insurance company by submitting a certified copy of the death certificate. Many states allow insurers 30 days to review the claim, after which they can pay it out, deny it, or ask for additional information. If a company denies your claim, it generally provides a reason why.

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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