Life Insurance Claims

Death Claim

Waiver of Premium Claim

• Waiver of Premium--(Form 182) The form must be completed in full by the insured and the treating physician certifying disability. Please, include all policy numbers to be considered on the form. It along with the HIPAA form should be submitted to the address in the upper left corner of the form
  
  
• HIPAA Authorization to Obtain & Disclose Information for Life Policies - (2118C)

Accelerated Benefit Claim

• Accelerated Benefit Rider Claim (Form 187)
• Accelerated Benefit Rider Consumer Claim Brochure (8532 CLM)

Specific Loss Claim

• Specific Loss (Form 183)
  This form is to be completed by the insured/claimant and the insured's physician certifying loss of limbs, loss of use or eyesight. It should be submitted to the address in the upper left hand corner.
• HIPAA Authorization to Obtain & Disclose Information for Life Policies (Form 2118C)
  

Accident and Health Claims

Accident Claim

• Accident Policy (Form 181)
  This form is to be completed by the insured/patient. It, along with the itemized bills and the HIPAA form should be submitted to the address in the upper left hand corner.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Cancer Claim

• Cancer Policy (Form 181)
  This form is to be completed by the insured/patient. It, along with the itemized bills, the pathology report for first time claims and the HIPAA forms should be submitted to the address in the upper left hand corner.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Critical Illness Claim

• Critical Illness Policy (Form 185) This form needs to be completed when filing for a critical illness event. Please, be sure to check the box for the type Critical Illness being claimed and list the policy number on the form. Please, include the completed HIPAA form with your claim. It should be submitted to the address listed in the upper left corner of the form.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Plus Care Claim

• Plus Care Policy (Form 181)
  This form is to be completed by the insured/patient. It, along with the itemized bills and the HIPAA form should be submitted to the address in the upper left hand corner.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Hospital/Surgical Claim

• Hospital/Surgical (Form 181)
  This form is to be completed by the insured/patient. It, along with the itemized bills and the HIPAA form should be submitted to the address in the upper left hand corner.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Major Medical Claim

• Major Medical (Form 181)
  This form is to be completed by the insured/patient. It, along with the itemized bills and the HIPAA form should be submitted to the address in the upper left hand corner.
• HIPAA Authorization--Health Claims (Form 2118D)
  Please, sign and date and submit a copy of this form with your claim forms for release of information.

Disability Claim

• Waiver of Premium--(Form 182) The form must be completed in full by the insured and the treating physician certifying disability. Please, include all policy numbers to be considered on the form. It along with the HIPAA form should be submitted to the address in the upper left corner of the form
  
• Weekly Disability (Form 7)
  This form is to be completed by the disabled insured and the insured's treating physician. It should be submitted to the address in the upper left hand corner.
• HIPAA Authorization to Obtain & Disclose Information for Life Policies (Form 2118C)

Status of Claim

How can I check the status of a death claim on a life insurance policy?

• To check the status of a death claim on a American General Life Insurance Company insurance policy, please call:
  Customer Service at 1-800-888-2452, Monday through Friday 7am-5pm Central Time.

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