Employee or Claimant
Want to receive your benefits payments faster? Complete this Authorization Form and we will deposit claim payments directly into the account you choose.
- File a Short Term Disability Claim (Do not submit more than 30 days prior to planned disability date)
- File a Long Term Disability Claim
- File a Waiver of Premium Claim
- File an Accident or Critical Illness Claim
- File a Hospital Indemnity Claim (including wellness benefit)
- File a Wellness Claim
- File a Dental/Vision Claim
- File a Life Claim