Death Claims
Remember to complete any applicable Employer's section(s) before distributing forms to beneficiaries.
Frequently Asked Questions for Death Claims
When you provide the claim form to the beneficiary(ies) to sign, you must also provide the ING Personal Transition Account Supplemental Contract to each beneficiary. Not applicable to beneficiaries residing in Alaska, Illinois, Kansas, North Carolina, or Nevada.
If a trust is named as the beneficiary, the Trust Verification form must be completed by the trustee.
| Form | Form Number |
|---|---|
159971(1/12) | |
159816(3/12) | |
115813(1/12) | |
Claim form for beneficiaries residing in Alaska, Illinois, Kansas, North Carolina, or Nevada | 159815(1/12) |
115446(1/12) | |
142020 |
Employee Benefits insurance products and services in the U.S. are provided by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance Company of New York (Woodbury, NY). Within the State of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the ING family of companies. Product availability and specific provisions may vary by state. Each insurer is solely responsible for the financial obligations under the policies or contracts it issues.
