Get The Hartford Lc-7371-11 2015-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out The Hartford LC-7371-11 online
This guide provides clear and comprehensive instructions for completing The Hartford LC-7371-11 form online. By following these steps, users can efficiently submit their claims for group life and accidental death benefits, ensuring all necessary information is accurately provided and filed in a timely manner.
Follow the steps to complete your claim form online.
- Click the ‘Get Form’ button to access the LC-7371-11 form and open it in your preferred editor.
- Begin by filling out Part I: Employer's Statement. This section requires details such as the insured's name, date of birth, social security number, and details regarding their employment and insurance coverage. Ensure to attach a certified copy of the death certificate.
- In Part II: Beneficiary Statement, enter the name of the deceased, policy numbers, and relationship to the employee. Provide each beneficiary's current address and social security number, ensuring accurate reproduction of all required information.
- Complete the Claimant's Statement of Accidental Death only if applicable. Provide detailed descriptions of the accident, including dates and circumstances surrounding the incident, and attach any supporting reports if available.
- Verify that all sections are completed, and ensure all required documents are attached. This includes enrollment forms, tax identification numbers, and any other pertinent information.
- Once everything is filled out and verified, save changes to the document. You may then choose to download, print, or share the form as needed to submit your claim.
Begin filling out your documents online to ensure a smooth and efficient claims process.
Personal accident insurance typically covers medical expenses, disability benefits, and accidental death benefits. This type of policy aims to support you and your family in the event of an unforeseen accident. The Hartford LC-7371-11 plan specifically outlines its coverage parameters, providing clear information on what is included. Familiarizing yourself with these details can help you maximize your protection.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.