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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2020 | 4.8 Satisfied (30 Votes) |
The Claims Department can be reached at (800) 624-1662 for any inquiries regarding the claim process.
Completed claim forms must be sent to AAA Life Insurance Company at their Livonia, MI address.
The claimant agrees to indemnify AAA Life Insurance Company from any costs or damages related to the payment of proceeds under the policy.
Claimants authorize the release of confidential medical information necessary for evaluating the claim.
Claimants can elect whether or not to have federal and state income tax withheld from their benefits.
The form includes specific fraud warnings that vary by state, emphasizing the legal consequences of providing false information.
Claimants can choose how they wish to receive their payment, including options for lump sum or periodic payments.
