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CLAIM FORMS:

At Boston Mutual Life Insurance Company, we strive to make our customers' lives easier, especially during difficult times.

Below, you will find an array of form categories. Please select the link that best describes your needs.

  • Group Claim Forms - Select this link if you are an employer who has group coverage for life and/or disability, or a third party administrator who administers group benefits.

  • Worksite Claim Forms - Select this link if you purchased an individual policy and the premium for the policy is paid through an Employer payroll deduction plan (or previously was payroll deducted).

  • Individual Claim Forms - Select this link if you are the beneficiary or owner of an Individual Life Insurance policy and have suffered a loss.

*Not sure as to whether you have a worksite policy or an Individual policy?

Please enter your policy number:

*If you are unsure of the specific Disability Income / Waiver form you need and do not have your policy number available, please contact the toll free number listed below for personal assistance. Please select the appropriate extension depending on the type of claim you wish to file.

1-800-669-2668
Waiver of Premiumext 508 or 429
Disability Incomeext 353 or 567