Death Claims

Remember to complete any applicable Administrator or Employer section(s) before distributing forms to beneficiaries.

Frequently Asked Questions for Death Claims

To submit a claim, you need to distribute the following forms to EACH beneficiary:

  • Claim form
  • ING Personal Transition Account Supplemental Contract (not applicable for 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 of the trust.
Forms for Association Group Term Life, PAI and Individual YRTForm Number

Claim form, Payment Option Brochure, Personal Transition Brochure, Supplemental Contract for beneficiaries residing in Arkansas, Indiana, Kentucky, North Dakota, or Rhode Island

159972(06/14)
159729(05/12)

Claim form, Payment Option Brochure, Personal Transition Brochure, Supplemental Contract for beneficiaries residing in California, Florida or Minnesota. ALSO USE IF INSURED RESIDED IN MINNESOTA AT TIME OF DEATH OR FOR POLICIES ISSUED OR SITUSED IN MINNESOTA

159818(06/14)
159729(5/12)

Claim form, Payment Option Brochure, Personal Transition Brochure, Supplemental Contract for beneficiaries residing in New York. ALSO USE FOR POLICIES ISSUED OR SITUSED IN NEW YORK

126266(06/14)
159729(5/12)

Claim form and Payment Option Brochure for beneficiaries residing in Alaska, Illinois, Kansas, Nevada, or North Carolina OR for Employers opting out of Personal Transition Account

159817(06/14)

Claim form, Payment Option Brochure, Personal Transition Brochure, Supplemental Contract for beneficiaries residing in all other states

115701(06/14)
159729(5/12)

Trust VerificationForm Number

Trust Verification

142020