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Manhattan Insurance Group offers one of the most complete Product Portfolios in the industry.
It is designed to meet the needs of Individuals, Families and Employees.

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Cancer Forms

Please read your policy closely.

Cancer policies provide specified benefits for certain treatments, procedures, and services rendered to the policyholder for the treatment of cancer. These limited benefit policies only pay benefits for those items listed in your policy and they do not pay for all treatments, procedures, or services you may receive with your cancer treatment.

Please take a moment to read these important and helpful guidelines regarding how to file your cancer claim.

Claim Forms

Other Forms

Affidavit of Lost Policy Form
Bank Draft Authorization Form (In English) / (en Español)
Health Policy Cancellation Form
HIPAA Form (release PHI from provider) / Agent HIPAA Form (release PHI to agent) / Family HIPAA Form (release PHI to Family Member/Other 3rd Party)
Persistency Bonus/Return of Premium Surrender
Policy Service Form

Coverage may be underwritten by The Manhattan Life Insurance Company, Family Life Insurance Company, Central United Life Insurance Company, or Investors Consolidated Insurance Company. The information contained on this Web Site does not constitute investment advice, and is not an offer to sell or a solicitation to buy any security or any insurance product. All insurance and/or securities transactions require signed agreements between the companies of Manhattan Insurance Group and its customers, and the terms of those agreements are binding on the parties. No other representation, whether made in person, online, electronically, in written, graphical, or verbal communication, may alter the terms of those agreements except that your use of this Web Site constitutes your agreement to the additional Terms of Use applicable to such use. Some products may not be available in all jurisdictions. In addition, any prospectus information available on this Site is posted for informational purposes only.