Follow the steps to complete the death claim form online effectively.

1. Press the ‘Get Form’ button to access the Death Claim For Association Plans form and open it in your preferred browser.
2. Begin by filling out Section 1, which includes Group Policyholder Information. You will need to provide the Group Policyholder Name, Group Policy Number, and Account Number.
3. Next, complete the Member Information section by entering the Insured's Full Name, Birth Date, Social Security Number, Gender, and any Other Names the Insured May Have Been Known By. Additionally, include the Insured’s Address and Marital Status.
4. In Section 3, provide the Claim Information, detailing the Amount of Claim, Certificate Numbers, Effective Dates, Premium Paid to Date, Date of Death, and Cause of Death. If applicable, include additional information if death was due to injuries.
5. The Administrator Certification in Section 4 must be signed and filled out by the administrator. Provide their Name, Title, Address, Email, Phone number, and the Method of Underwriting Type.
6. In Section 5, fill out the Beneficiary Statement with the Name, Address, Birth Date, Phone Number, Social Security Number, and Relationship of the beneficiary. Complete this for each beneficiary, attaching additional statements if necessary.
7. Select a Preferred Payment Method in Section 6, choosing from options such as Lump Sum Check, Voya Personal Transition Account, or other installment options. Make sure to read the details on each option available.
8. Complete Section 7, providing the required US Taxpayer Certifications and indicating if applicable as a Non-Resident Alien.
9. Once all sections are filled in accurately, review the form for completeness. Ensure all required signatures are provided in the appropriate sections before submission.
10. After verifying the information, save your changes, then download or print the completed form. Finally, send the form along with required documents like the death certificate and enrollment documentation to the specified addresses.

Get started by filling out the Death Claim For Association Plans form online today.