Industry Forms; Purchasing (Vendors) Other DCI Websites. That's why Philadelphia American Life offers a variety of solutions to help protect you from the financial burden of these unexpected medical expenses. We all realize that many individuals who have been diagnosed with what at one time were considered fatal illnesses are now overcoming the odds and surviving. Explore all possibilities. Dial 1-800-779-5433, Monday through Friday, 7:00 a.m. to 5:00 p.m. CST. This information may affect or compromise your benefits. Your waiting period is shown on your contract. CSO accepts faxed claim forms, however, we request you also mail the original claim form to us. To obtain a benefit request form, CLICK HERE. Please complete a separate claim form for each family member. 1 The American Journal of Medicine To obtain license information, CLICK HERE. United Farm Family Insurance Company, and American National Life Insurance Company of New York, Glenmont, New York. This productis underwritten byPhiladelphia American Life Insurance Company, a member of the New Era Family of Companies, The product details and availability may vary by state. U.S. Customers filing an INITIAL INVOLUNTARY UNEMPLOYMENT INSURANCE (IUI) Claim, please file and upload your documents here. No other representation, whether made in person, on-line, electronically, It looks like you haven't installed the Fill Chrome Extension. MBhg/_|^;7_RNO W/Oy7k}FSKvfWO4"-#G IJG8:m#[mqa;TmteP?dU8Oid;/xYs9h!m5|fvd?T4{Y]UO;uUXZkz Monday-Friday 8am-5pm Central CSO requires an original certified death certificate and a copy of the most recent loan payment coupon/loan statement. Why did my benefit payments stop? American Income Life Insurance Company Claims Department PO Box 2500 Waco, TX 76702 . Administrative Office . I made my loan payments while the claim was being processed. Now I want to file a disability claim. . /Tx BMC The Creditor Beneficiary is the name of the lender to whom loan payments are made. Benefits are paid for Internal Cancer, Heart Attack, Stroke, End Stage Renal Failure, Major Organ Transplant, Coronary Artery Bypass and Angioplasty. It is important to understand what each plan covers so that it meets your individual needs. Email: claims@providentins.com Once we receive your claim information, we will review our records to verify that the coverage is in force and verify the beneficiary (ies) named on the policy. endstream endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream Philadelphia American is a New Era Life Insurance Company subsidiary, a more prominent insurance firm. 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Attention: Claim Department. All Insurance . 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