Voluntary Benefits Billing Forms


ManhattanLife
VB Claims, Enrollment, and Service
PO Box 926169
Houston, TX  77092

 

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

 

Please choose the appropriate form below.

 BILLING FORM PRODUCT 
VB Employee Remittance Form Employee Remittance Form