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Loss Notification

Loss Notification

Losing a loved one is one of the most difficult and stressful times we encounter in life. OneAmerica is committed to providing quality service during the claim process and beyond to help ease the burden of these difficult times.

To ensure we assist you quickly and accurately, please complete the required fields below. All fields marked with an asterisk (*) are required. On submission of the form, any invalid data entry into any of the fields will be validated and appropriate error message will be displayed alongside the respective fields.

Life Policy Information

Name of person(s), trust or business

9 or 10 characters

Deceased Information

Claim Information

Your Information

Additional Beneficiary Information

Would you like to add contact information for another beneficiary involved with this loss to receive a claim packet?

Questions & Policies

OneAmerica Privacy Statement

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Please fill out all fields to continue.


Thank you for your submission.

 
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The OneAmerica guide to receiving long-term care

Our Care Solutions guide to help you navigate the path to long-term care.

Step-by-step

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