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If you have social security or other governmental direct deposit see note in left column. Last Name First Name Street Address Staple VOIDED check from your Tompkins Bank of Castile account below City State Zip Please Note If you have social security or other governmental direct deposit please use the Treasury Department Standard Form 1199A that is included in this packet or pick up a copy at any Tompkins Bank of Castile Office.

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USAble Life Supplemental Insurance provides financial support beyond your medical coverage. At USAble Life, our supplemental insurance plans provide you with the financial resources when you're faced with an unexpected medical event, paying you a lump sum of cash to help you cover expenses when you need it most.

Whom should I contact to check the status of my claim? A. 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.

Accelerated death benefit Up to 75% of the benefit may be accessed if an employee is diagnosed with a terminal illness. Waiver of premium Premiums will be waived after six months of total disability.

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.

Multiple plan options with varying levels of coverage, including benefits for: Emergency treatment. Hospitalization. Dislocations and fractures. Lacerations. Burns. Rehabilitation. 24-hour coverage or off-the-job coverage. Accidental death & dismemberment.

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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
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