Being disabled and unable to carry out your financial responsibilities can be a very difficult time. We are here to help you take advantage of your active disability benefit rider.

How It Works

You may be eligible for disability benefits provided:

  1. Your policy is inforce
  2. Your policy contract includes an active disability benefit rider
  3. You have been disabled for a duration of at least 6 consecutive months

Submitting a Disability Rider Claim


Call 1-888-887-2739


Within 4 business days of notification, we will send you the Disability Benefit Claim Form.

You will be required to:

a. Complete the form
b. Sign the disability authorizaation to obtain additional medical information
c. Provide a fully completed attending physician's statement
d. Provide a copy of your medical records for the claim period of total disability
e. Obtain a statement from your employer, under some circumstances

Mail or fax the completed form and the additional requirements to the address or fax number located on the form.


Once we receive all required documentation, the claimant will be informed of a decision within ten business days.

Need help filing a Total Disability waiver?

This form is to be completed by the insured and attending physician when applying for the Disability Benefit Rider.

Fill out form