Submitting Life Claims Just Got Easier!

  • The original Certified Death Certificate (CDC) is no longer required
  • Dearborn National will now accept a PHOTOCOPY of the CDC

For life claims with a total coverage amount of $25,000 or less

Group Benefits Forms

Features Function
Modify Search Saves your last search option and refreshes the dropdown menus when you make your new selections.
Add Button Lets you add a form to your Package.
Remove Button Lets you delete a form from your Package.

Packages the new forms into one PDF file and allows you to e-mail or print the PDF by clicking on the appropriate icons.

Note: Required forms are highlighted in yellow and are automatically added to the "Package" section on the right.

Please note: To utilize the dynamic and fillable features of our forms Adobe Reader must be your web browser Default PDF Reader.

  • For instructions on making Adobe Reader your default PDF reader click here.
  • If you do not have Adobe Reader, download the latest version of Adobe Reader please click here.
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  • If you cannot locate a form or need further assistance, you can Contact Us at 800-348-4512.