Colonial Life Universal Claim Form. _____sales representative _____ plan administrator _____spouse, family member or significant other Box 100195, columbia, sc 29202 from:
Claim Form Universal Claim Form
Leave blank if you do not want anyone accessing your claim information. Web the universal claim form. Cancellation/surrender of your life policy. Primary doctor information and treating doctor (if different) diagnosis from your doctor. Web file colonial life insurance paper claim forms | colonial life. The policies or their provisions may vary or be unavailable in some states. The policies have exclusions and limitations which may. Web colonial life & accident insurance companyuniversal claim form fax: Use the cross or check marks in the top toolbar to select your answers in the list boxes. Web your name, date of birth, social security number (ssn) and address.
Claimant’s name, date of birth, ssn (if other than primary insured) date of diagnosis. Web the universal claim form. The policies have exclusions and limitations which may. Box 100195, columbia, sc 29202 from: _____sales representative _____ plan administrator _____spouse, family member or significant other The form also provides helpful tips about the. Bills or proof of treatment. Web your name, date of birth, social security number (ssn) and address. Web file colonial life insurance paper claim forms | colonial life. Leave blank if you do not want anyone accessing your claim information. Web colonial life & accident insurance company, columbia, sc | universal claim form | fax: