MAIL TO: American Heritage Life Insurance - Allstate Benefits 2026

Get Form
MAIL TO: American Heritage Life Insurance - Allstate Benefits Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out MAIL TO: American Heritage Life Insurance - Allstate Benefits

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your policyholder information. Fill in your name, occupation, email, policy number, social security number, and date of birth. Ensure all details are accurate to avoid processing delays.
  3. Next, provide the patient’s information. Include their name, date of birth, age, and relationship to you. This section is crucial for identifying the claim.
  4. Attach any required documents such as itemized hospital bills and the Attending Physician’s Statement. Use our platform's upload feature to easily attach these files.
  5. Complete the transportation claims section if applicable. Include dates of travel and location of treatment along with receipts for transportation.
  6. Finally, review all entered information for accuracy before signing and submitting your claim through our platform.

Start using our editor today for a seamless experience in filling out your insurance claims!

See more MAIL TO: American Heritage Life Insurance - Allstate Benefits versions

We've got more versions of the MAIL TO: American Heritage Life Insurance - Allstate Benefits form. Select the right MAIL TO: American Heritage Life Insurance - Allstate Benefits version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2020 4.8 Satisfied (36 Votes)
2015 4.1 Satisfied (31 Votes)
2013 4.4 Satisfied (34 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

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.
Contact us
Send your completed form in by emailing MemberServices@ngic.com or mail directly to Allstate Health Solutions, PO Box 1070, Winston Salem, NC 27102-1020.
If you have any questions regarding our determination of your claim, or if you would like to appeal any determination, please contact our customer service department at 1-800-521-3535.
Filing a Claim The claims department then sends a form for the beneficiary to complete and return along with the policy and a certified copy of the insureds death certificate. Keep a copy of the policy and mail everything to the insurer by certified mail, return receipt requested.
be ready to get more

Complete this form in 5 minutes or less

Get form