Forms
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
Life
Disability/Paid Family & Medical Leave
Dental
Vision
Accident
Critical Illness/Specified Disease
Hospital Indemnity
Administrative forms
Benefits Continuation
Notice of Conversion
Portability Form - Life Insurance
Portability Form—Accident, Critical Illness/Specified Disease, and Hospital Indemnity
Assignment of Life 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.
Employee Benefits Customer Service
Monday-Friday 8 a.m.-8 p.m. ET
Equitable Advisors Sales Desk:
GE-6143095.1 (12/2023) (Exp. 12/2025)