For your convenience, claim and administrative forms can be found below. Please follow instructions included in the forms to submit your claim.

Forms by product

Critical Illness

Administrative forms

Benefits Continuation
Notice of Conversion
Portability Form - Life Insurance
Portability Form - Accident & Critical Illness Insurance

Still have questions?

We are here to help. If you have any questions about claims processing or need assistance with filling out a form, please give us a call.


(866) 274-9887

Monday - Thursday 8:00 AM - 6:30 PM
Friday 8:00 AM - 5:30 PM

HIPAA  |  Legal
All group insurance products are issued either by Equitable Financial or Equitable America, which have sole responsibility for their respective insurance and are backed solely by their claims-paying obligations. Some products are not available in all states. The reference to the 1859 founding refers exclusively to Equitable Financial Life Insurance Company.

GE-120710 (11/2016)