Submitting a Death Claim

To obtain a death claim packet, please complete the form below. If you are unsure of your product type, do not have a policy/contract number, or would prefer to speak with a representative, please call (800) 272-2216 for assistance.

Insured/Annuitant information
First name
Last name
Date of birth Dates should all be typed in the format mm/dd/yyyy
Date of death Dates should all be typed in the format mm/dd/yyyy
Type of death (if known)
- Accidental
- Natural
Please enter the policy/contract number(s)
Information for individual reporting claim
First name
Last name
Relationship to insured
Address
Your apartment
City
State
Zip code
Phone number
Email
Do you want the claim packet sent to you as the individual reporting the claim?
- Yes
- No
Who would you like the claim packet sent to?
First name
Last name
Relationship to insured
Address
Your apartment
City
State
Zip code
Phone number
Email
How would you like the claim packet sent?
- Email
- Fax
- Mail
Fax number
Please enter a fax number for the claim packet to be sent to.

If you have one of the products listed below, you can contact us at the following numbers.

Benefit Management Account: (800) 548-0705
Life Insurance, Disability Income Insurance and Annuities: (800) 272-2216
Long Term Care Insurance: (888) 505-8952
Long Term Care Rider: (800) 272-2216
Oppenheimer: Mutual Funds (800) 525-7048; 401K (800) 835-7305
Retirement: Pensions (800) 788-8781; 401K (800) 309-3539