Colonial Life Universal Claim Form. Web colonial life & accident insurance company, columbia, sc | universal claim form | fax: Cancellation/surrender of your life policy.
Claim Form Universal Claim Form
Leave blank if you do not want anyone accessing your claim information. Claimant’s name, date of birth, ssn (if other than primary insured) date of diagnosis. _____sales representative _____ plan administrator _____spouse, family member or significant other Primary doctor information and treating doctor (if different) diagnosis from your doctor. Web colonial life insurance products are underwritten by colonial life & accident insurance company, columbia, sc. Web your name, date of birth, social security number (ssn) and address. The policies have exclusions and limitations which may. Web the universal claim form. Box 100195, columbia, sc 29202 from: The policies or their provisions may vary or be unavailable in some states.
Web i authorize colonial life to facilitate processing this claim by releasing its details to the individual inquiring on my behalf. Start completing the fillable fields and carefully type in required information. _____sales representative _____ plan administrator _____spouse, family member or significant other Use the cross or check marks in the top toolbar to select your answers in the list boxes. The policies or their provisions may vary or be unavailable in some states. Web file colonial life insurance paper claim forms | colonial life. Leave blank if you do not want anyone accessing your claim information. Box 100195, columbia, sc 29202 from: Web the universal claim form. Web colonial life & accident insurance company, columbia, sc | universal claim form | fax: Web colonial life insurance products are underwritten by colonial life & accident insurance company, columbia, sc.
