Most Commonly Requested Forms

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At Boston Mutual Life Insurance Company, our insureds and clients are our top priority. We are committed to providing a superior and convenient customer experience for you.

On this page, we’ve included our most commonly requested Customer Service and Claims forms in one convenient location.

Customer Service Forms

Loan Request Form

Beneficiary Change Form

To contact a Customer Service representative, you can email the team directly at [email protected].

Claims Forms

HIPAA Form

Life Claim Form

Accident Claim Form

Critical Illness Claim - Health Screening Form

Disability Claim Form

Looking for a different form? Check here.

Not sure which form you may need? Click here for our customer service and claims frequently asked questions (FAQs).

All of our forms open with Adobe Acrobat Reader. (Get Acrobat for Free by clicking here.)

Your completed forms should be mailed or faxed to us as directed on each form.