American Health and Life Insurance - OneMain Solutions 2026

1. Click ‘Get Form’ to open the Disability Claim Form in the editor.
2. Begin by entering the Insured's Name, Claim Number, and the last four digits of your Account/Policy Number in the designated fields.
3. In the Authorization section, initial, sign, and date as required. This grants permission for necessary information to be shared.
4. Complete the Insured's Section by providing personal details such as mailing address, date of birth, employer's name, and disability-related information. Ensure all fields are filled accurately.
5. The Attending Physician's Section must be completed by your physician. They will provide medical details including diagnosis and treatment dates.
6. Review all entries for accuracy. Once satisfied, save your document and submit it via email or upload it directly through our platform.

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