Globe Life Insurance Company of New York - Claims Filing Instructions

Life Disability/Waiver of Premium Claim Filing Instructions

Required Forms

If the claim is filed by a hospital:

  • Universal Billing (UB-04)

If the claim is filed by all other healthcare providers:

  • CMS-1500

Send To

Globe Life Insurance Company of New York
P.O. Box 3125
Syracuse, NY 13220

Processing time on claims can vary depending upon the circumstances surrounding the claim. Please allow 10-15 business days from the date that you mail the above documents for Globe Life to receive, log and process the information. You will be notified if additional information is needed.

Life Claim Filing Instructions

Please accept our condolences for your loss. We aim to make the claims process as efficient and expedient as possible.

 

Submit your claim

Once you have obtained and completed the necessary documents, you are ready to file your claim.

Submit your claim online

Submit your claim online

Submit your claim via mail or fax

Obtain all documents and mail or fax to:

Email: CLStatus@globe.life
Fax: 315-451-7679
Mail: Globe Life Insurance Company of New York
Attn: Claims
Post Office Box 3125
Syracuse, New York 13220-3125

In order to file a claim for life insurance benefits, we require that you review and complete in its entirety:

Submitting Life Claims on Policies Less than 2 Years Old

Complete the printable Proof of Death Claimant Statement in its entirety. All the forms will need to be filled out as completely and accurately as possible.

Please send us the completed forms, along with the Death Certificate including cause and manner of death, the obituary (if available) and any other supporting documentation. Certified Death Certificates are required for face amounts greater than $50,000; otherwise, a copy is sufficient.

For accidental death claims and claims where the manner of death is homicide, please also include the following:

  • Autopsy, toxicology, and police reports
  • A certified copy of the coroner’s report

Once all the required documents are received, they will be reviewed and the claim will be processed. If the claim requires further investigation, additional documents may be requested and the claim will be processed after the investigation has been concluded.

If you have questions or need assistance with filing your claim, please contact our Customer Service Department.

Medicare Supplement Claims

Required Forms

If the claim is filed by a hospital:

  • Universal Billing (UB-04) with copy of Medicare Remittance Advice

If the claim is filed by all other healthcare providers:

  • CMS-1500 with copy of Medicare Explanation of Benefits form

If the claim is filed by the insured:

  • Medicare Summary Notice

Send To

Globe Life Insurance Company of New York
P.O. Box 3125
Syracuse, NY 13220

Processing time on claims can vary depending upon the circumstances surrounding the claim. Please allow 10-15 business days from the date that you mail the above documents for Globe Life to receive, log and process the information. You will be notified if additional information is needed.

 
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