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Click ‘Get Form’ to open the Colonial Penn claim form in the editor.
Begin by entering the name of the deceased in the designated field. Ensure accuracy as this is crucial for processing the claim.
Fill out the 'Information About Deceased' section, including their date of birth, policy number, amount of insurance, social security number, cause of death, and place of death.
In the 'Information About Beneficiary' section, provide your name, social security number, mailing address, and relationship to the deceased.
Complete the authorization section by signing and dating it. This allows medical information to be shared with Colonial Penn for claim processing.
Review all entered information for accuracy before saving your changes. Once completed, download or print the form directly from our platform.
Mail the completed form along with a certified copy of the death certificate and original policy to Colonial Penn Life Insurance Company.

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Versions	Form popularity	Fillable & printable
2017	4.3 Satisfied (48 Votes)
2012	4 Satisfied (54 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

How far back can you file a wellness claim with Colonial Life?

Cant file online? For a paper form, download, print and fax the completed document to 1-800-880-9325 or mail to P.O. Box 100195, Columbia, SC 29202-3195.

Does Colonial Penn pay claims?

If you wish to file a wellness/cancer screening claim for a test performed within the past 36 months, youll need to submit: The type and date of the test performed. Your physicians name and phone number. We also need to know if this is for you or another covered individual.

How do I file a claim with Colonial Penn life insurance?

Does Colonial Penn Pay Out? Yes, Colonial Penn pays out on life insurance claims. However, the amount the beneficiary receives will depend on whether premiums were paid in full and what kind of policy you have.

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