File a Claim
Please return completed form by mail:
Lincoln Mutual
P.O. Box 1918
Fargo, ND 58107
Employer & Employee
For employees under an employer group, changes to your policy may require additional information held by your employer or a signature for approval. Talk with your employer representative for help.
The Employer, insured Employee, and attending Physician must complete and submit the appropriate form immediately:
- Accidental Dismemberment and Loss of Sight Claim
- Accelerated Benefits
- Disability Claim
- Premium Waiver for Term Life Insurance
Statement of Death
Please note: Upon the death of an insured employee, please complete the beneficiary and employer forms below:
Individual Policy
For individuals whose policy is not through an employer, each beneficiary must complete the form below:
