Assurity Claim Forms

Critical Illness (NE)
Critical illness insurance provides benefits when an insured person is diagnosed with a specified critical illness or undergoes a covered procedure.
















































Critical Illness (KS)
Critical illness insurance provides benefits when an insured person is diagnosed with a specified critical illness or undergoes a covered procedure.
















































Accident Expense (NE)
Assurity Accident Expense insurance coverage provides a fixed cash benefit for medical treatments associated with a covered accident.
















































Accident Expense (KS)
Assurity Accident Expense insurance coverage provides a fixed cash benefit for medical treatments associated with a covered accident.
Transamerica Claim Forms
















































Accident
Accident Expense insurance coverage provides a fixed cash benefit for medical treatments associated with a covered accident.
















































Cancer
Provides a daily hospitalization benefit for cancer and specific benefits for riders such as ambulance and skin cancer. Numerous product (riders) and price variations are available and variations exist by group/client.
















































Critical Illness
Critical illness insurance provides benefits when an insured person is diagnosed with a specified critical illness or undergoes a covered procedure.
















































Disability
Disability Insurance, often called DI or disability income insurance, or income protection, is a form of insurance that insures the beneficiary's earned income against the risk that a disability creates a barrier for a worker to complete the core functions of their work.
















































Hospital
Provides daily benefits from $50 to $200 per day including an array of riders (i.e. cancer, accidental death, skilled nursing, etc.) and benefits available to members, spouses and children. Terminates at age 65.
















































Life Insurance
Help protect your family's financial future from an unforeseen death.