Need to file a Voluntary Benefits Claim?


ManhattanLife
VB Claims Department
PO Box 926169
Houston, TX  77092

 

Fax: 1-502-405-7107
Phone: 1-855-448-6982
Email: VBClaimsSubmissions@manhattanlife.com

 

Please choose the appropriate form below.

 CLAIM FORM PRODUCT 
VB Accident Claim Form Accident
VB Health Screening Benefit Claim Form  Accident, Critical Illness and Hospital Indemnity 
VB Lifestyle Reward Claim Form Accident, Critical Illness and Hospital Indemnity 
VB Cancer Claim Form Cancer
VB HealthCare Plus and Cancer Wellness Claim Form Cancer, HealthCare Plus 
VB Critical Illness Claim Form Critical Illness
VB Disability Maternity Claim Form Disability
VB Disability Initial Claim Form Disability
VB Disability Continuation Claim Form Disability
VB Hospital Indemnity/Supplemental Health Claim Form  Hospital Indemnity /Supplemental Health
VB Individual Accident Claim Form Individual Accident
VB Life Claim Form Term Life/Whole Life
VB Accelerated Benefit Claim Form Term Life/Whole Life
VB Waiver of Premium Initial Claim Form Waiver of Premium
VB Waiver of Premium Continuation Claim Form Waiver of Premium