Service Forms
To make it easy for you to access the forms you need, we have placed commonly used service forms on this site for you to access at your convenience.
These forms are available in Adobe Acrobat PDF format. The PDF forms must be printed out and then completed. They cannot be completed on line. Once you have printed and completed the form, mail or fax the form to our processing center.
CLAIM FORMS
Processing Center
P.O. Box 100195
Columbia, SC 29202-3195
Fax: 800.880.9325
OTHER FORMS
Processing Center
P.O. Box 1365
Columbia, SC 29202-1365
To order forms that aren't listed here, please call our Service Center at 1-800.325.4368
| Title | Description |
|---|---|
| Claim Form | Use this PDF form to submit a claim. |
| Beneficiary Designation Form | This PDF form should be used to add or modify the designated beneficiary on a policy. |
| Request For Service | Use this PDF form to request changes to personal data, beneficiary, or to exercise policy provisions. |
| Service Guide for Policyholders | This helpful flier provides information on finding the most up-to-date claim forms, submitting a claim and selecting optional services on the claim form. The form also provides helpful tips about the claims process, how the policy works and when to contact the service center. |
| Título | Descripción |
|---|---|
| Formulario de Reclamación e Instrucciones | Use este formulario para procesar una reclamación sobre su póliza. |
| Formulario de Designación de Beneficiario | Use este formulario para designar el (los) beneficiario(s) primario y contingentes. |
| Solicitud de Servicio | Use este formulario para requerir información adicional sobre; como cambiar su dirección u otra información personal, cambiar su beneficiario o para efectuar otros cambios relacionados con su póliza. |
