DISABILITY OR WAIVER OF PREMIUM CLAIM NOTIFICATION FORM
The onset of a disability can be a difficult experience. The focus should be on your health, not paperwork. That's why we've made it easy for you to file a claim.
Take this first step
- Complete the Online Notification of Disability or Waiver of Premium Claim below and click submit.
If you have any questions regarding your claim
- Call us toll-free at 800-487-1485. Select option 4. Then select option 4.
- We're here for you Monday through Friday 8:00 a.m. to 4:40 p.m. ET.