Forms – Individuals

Forms to file a Claim


Cancer and Dreaded Diseases Policy



Death Benefits


Natural or accidental death of principal insured or any of their dependents, both in life insurance and cancer policies


Assignment of Benefits for Funeral Home Payment in Life or Cancer Policies


Statement on Services and Merchandise – Funeral Pre-Arrangement Policy


Disability Benefits – Life and Cancer Policies




Accelerated Benefit


Additional Requirements for Policy Claims within the First Two Years of Issuance



Amount paid in claims for May 2024: $7,591,616.99.


People we have helped in their battle against cancer: 177,284.

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