Colonial Life Universal Claim Form – Fill Out and Use This PDF

Colonial Life Universal Claim Form PDF Details

The Colonial Life Universal Claim Form is an 8-page document for filing insurance claims under Colonial Life & Accident Insurance Company policies. Policyholders use it to submit claims for medical conditions, accidents, disability benefits, and wellness screenings.

What the Form Covers

This form handles multiple benefit types in a single submission:

• Medical condition claims requiring a physician diagnosis
• Accident and injury claims with supporting records
• Disability claims with signed authorization forms
• Wellness screening benefit claims

Required Documentation

Gather these items before filling out the form:

• Medical records from the treating physician
• Diagnosis codes (ICD codes) for the condition
• Signed and dated authorization forms
• Claimant policy number and personal identification

How to Submit Your Claim

Colonial Life accepts completed claim forms by fax or mail. You can opt in for electronic updates on your claim status. The form also includes an Optional Service Release Agreement. This lets claimants authorize Colonial Life to share claim details with a designated third party.

Tips for Faster Processing

Fill out every field on the form. Blank or incomplete fields are the most common reason claims take longer to review. Keep copies of all documents you submit. Looking for related forms? See the Combined Insurance Claim Form, the Disability Claim Form, the Gerber Life Insurance Claim Form, or the Life Insurance Death Claim form.