What to do when an Assurity account holder dies
Report the death to Assurity's Claims Reporting and Services at 1-800-869-0355 ext. 4484
A death claim on a Assurity policy is filed through the Claims Reporting and Services (1-800-869-0355 ext. 4484). Because insurance proceeds pass directly to named beneficiaries, this process is separate from probate. The required documentation and timeline vary by policy type.
Death claim process
To file a claim after an account holder's death, here is what Assurity requires:
Filing a claim
- New York policyholders (Assurity Life Insurance Company of New York) call 844-401-7585 to obtain the necessary forms
- Death claims cannot be made through MyAssurity, which accepts health and wellness claims online
- A Request for Proceeds form is completed for each designated beneficiary. Where the beneficiary is a trust or an estate, the trustee or the personal representative completes it
- Enclose the certified death certificate (raised seal, cause of death listed) and the original policy or certificate
- Assurity may also require a confidential information authorization form, copies of trust or estate documents, and medical records
- The Customer Center asks for the claimant's state before it hands over a claim package, but the death benefit package is the same for every state
- Complete the Notification of Death form (form 01-030-05055) with the policyowner's and the deceased person's details, the policy numbers and a contact person
- Complete a Request for Proceeds form for each designated beneficiary, signed by the trustee or personal representative where a trust or estate is the beneficiary
- Enclose one certified death certificate with a raised seal and the cause of death listed
- Enclose the original insurance policy or certificate for return to the home office
- Where a trust or estate is the beneficiary, Assurity requests the trust or estate documents and proof of the signer's authority
- Mail to Assurity Life Insurance Company, P.O. Box 82533, Lincoln, NE 68501-2533
- Or fax to 800-869-0368, or send by secure email
Required Documents
- Notification of Death form (form 01-030-05055)A phone report to the Claims Department at 800-869-0355, Ext. 4484 may be made instead.
- Request for Proceeds form, one for each designated beneficiaryThe trustee or the personal representative signs for a trust or an estate.
- Certified death certificateOne per claim, with a raised seal and the cause of death listed.
- Original insurance policy or certificateReturned to Assurity's home office.
- Policy or certificate numbers and the deceased person's detailsFull name, date of birth, Social Security number and date of death.
- Trust or estate documents, where a trust or estate is the beneficiaryAssurity may also request proof of the signer's authority.
- Confidential information authorization form and medical records, if Assurity requests themAssurity's list of required documents is not exhaustive.
Forms Assurity issues2
- Notification of Death (form 01-030-05055)
Available to download.1
- Request for Proceeds
Completed by each designated beneficiary; the trustee or personal representative for a trust or estate. Sent by the institution on request.2
What happens to each kind of account1
- Life insurance policy
Assurity administers many plans of insurance, and optional riders on the contract may add benefits beyond the base death benefit.2
Accounts handled elsewhere1
- Assurity Life Insurance Company of New York
Policies issued in New York; this line provides the claim forms2
Phone: 1-844-401-7585
What Assurity's agreement and guidance say1
- Contestability of a recent policy
Timing depends on how complete the documents are and on the policy review. Delays occur where the policy is inside its contestability period or the circumstances of death require investigation.2
Sources2
More than 80% of employer-sponsored group life, whole life and critical illness claims are paid within 10 business days.
Assurity's Claims Reporting and Services can be reached by phone at 1-800-869-0355 ext. 4484, email at claimsinfo@assurity.com, and fax at 1-800-869-0368 for questions throughout the claims process.
Sources
Data sourced from Assurity primary sources (15 pages reviewed). How we research.
Assurity death claims support
Claims Reporting and Services
Assurity Life Insurance Company of New York
Fax
Hours
Mailing address
Website
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