18882992070 2026

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The document outlines the process for filing a claim for group life insurance benefits with UnitedHealthcare. It includes instructions for claimants to complete a form, provide necessary documentation such as a certified death certificate and any relevant reports if the death was accidental. The document also details the information required from both the claimant and employer, including personal details of the deceased and insurance policy specifics. Additionally, it contains fraud warning notices applicable in various states.

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Begin by filling out SECTION 1, starting with the Deceased’s Name and Address. Ensure all details are accurate.
Provide the Name of Insured Employee, their Social Security Number, and Group Policy Number. This information is crucial for processing your claim.
Complete the remaining fields in SECTION 1, including dates of birth and death, cause of death, and your relationship to the deceased.
Attach any required documents such as a Certified Death Certificate and police reports if applicable. Use our platform's attachment feature for convenience.
Once you have filled out SECTION 1 completely, submit it along with any attachments to your Employer for completion of SECTION 2.

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