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View and download forms, file a claim, and learn more about how we help you prepare for life's challenges. Access to these online forms is solely for the purpose of permitting the user to print and submit the form (s) to reliance standard. Use the form on the annuities claim page to request claim payment for an individual (natural person) beneficiary on a reliance standard deferred annuity contract.
Access member services, find a provider, download a form, and verify your coverage.
Complete this authorization form and we will deposit claim payments directly into the account you choose. Easy access to current employees’ coverages, dependents and demographic information View detailed plan design information and see monthly evidence of insurability (eoi) application activity. Note that you will need some general information in order to begin this claim process
You may also need to complete an additional authorization to obtain information, which allows us to request your medical records if needed. After we receive your submission, a reliance matrix claims examiner will contact you to verify your information and gather any additional information needed to process your claim and discuss next steps.