Long Term Disability (LTD) & Life Waiver: (800) 254-0085 or [email protected] LTD and Life Waiver claims address: LifeMap Claims 300 Southborough Drive, Suite 200 South …

Assignment of Life Insurance Proceeds I, _____________________, being entitled to receive benefits under Policy Number _____________ issued by LifeMap Beneficiary Name …

Claim Filing Instructions This Statement of Accident includes the forms required to apply for Voluntary Accident benefits. Please read this instructions carefully before submitting to LifeMap.

Your full name as it appears on your member ID card or policy document(s); Your LifeMap ID, which may be either your Member ID, Claim # or the last four digits of your Social Security …

LifeMap Life 10 Basic Life and AD&D Insurance How the Plan Works is full of twists and turns. LifeMap Basic Life and AD&D coverage protects your family’s future, no matter

Talk to your producer today about dental coverage from LifeMap Assurance Company®. LifeMapCo.com 1 (800) 794-5390 This document is intended to give a brief overview of the …

Dependent Eligibility Requirement Dependents must be a Legal spouse and/or child(ren) up to age 26 of the covered employee to be eligible for coverage. LifeMap Network

This means legal expenses for the beneficiary and delay in the payment of the insurance. Please take this into consideration when naming your beneficiary. If you have any questions, please …

• I understand that LifeMap will release information to my employer necessary for return to work and accommodation discussions, and when performing administration for my employer’s self …

LifeMap ofers FMLA, ADA and other types of leave administration as a buy-up option through FMLASource. Sign up and you’ll enjoy: • Lower administrative costs and improved eficiency • …