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UT: Forms - Dearborn Life Benefits

UT: Forms - Dearborn Life Benefits 2025

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The document is a Group Life Waiver of Premium Claim Form from the Life Insurance Company of New York, detailing the process for filing a claim for waiver of premium due to disability. It outlines eligibility criteria, required documentation, and instructions for completion by the employer, insured individual, and attending physician. The form emphasizes the need for proof of disability within one year and includes sections for personal information, medical history, and authorization for information release.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (183 Votes)

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Got questions?

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

How do I get my money back from life insurance?

You can do this simply by calling the insurance company to explain the situation. After confirming your identity, the company will typically provide you with a new copy of your policy within weeks.

Is Dearborn life insurance?

Life Disability We offer a broad selection of insurance products and services to help financially protect you and your family.

How do I talk to someone about life insurance?

How to discuss the need for life insurance Pick the right time and place. The when and where are key to success here. Dont assume doubt. You might assume your loved ones want to avoid the life insurance talk at all costs. Center the discussion on goals. Provide strong data.