Fax: 1-800-980-0298-2025

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  1. Click ‘Get Form’ to open the Fax: 1-800-980-0298 document in the editor.
  2. Begin by filling out SECTION 1, starting with the Deceased’s Name and Address. Ensure all details are accurate.
  3. Provide your information as the Claimant, including your name, date of birth, relationship to the deceased, and contact numbers.
  4. Attach a Certified Death Certificate and any additional documents if applicable, such as police or toxicology reports for accidental deaths.
  5. Once you have completed SECTION 1, submit it along with any attachments to your Employer for SECTION 2 completion.
  6. After both sections are filled out, use our platform to fax the completed form to the number provided at the top of the document.

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We offer a variety of medical plans and options, including vision, dental, long-term disability and life insurance to keep you and your family happy and healthy.
Go to Claim Information for a list of addresses of where you can mail paper claims. ► Can I fax a claim? We accept claims by fax at 248-733-6372, apart from those indicated below.
Our Term Life plan is designed to offer budget-friendly life insurance coverage for a selected number of years to help your loved ones in the event of your death. A Term Life Benefit plan with an optional Accelerated Benefit designed to pay you cash benefits upon diagnosis of a qualifying illness or death.
With term life coverage from Golden Rule Insurance Company, a UnitedHealthcare company, you can also choose to add a Critical Illness Benefit. When you add this benefit, you can receive a cash benefit if youre diagnosed with one of the following qualifying illnesses: Waiting periods may apply.
UnitedHealthcare does not cover the services or costs related with a service that is not a covered health care service under the members UnitedHealthcare Health Plan, including but not limited to cosmetic surgery, bariatric surgery, infertility, and experimental and investigational procedures.
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