Compass Accident Insurance Claims

There are different types of Accident Insurance coverage available. Please verify what coverage is available under your group policy, if any, before selecting from the claim forms below.

Compass Accident Insurance Claims

Please distribute the claim form to the insured. The Consumer Privacy Notice is attached.

Form NameForm Number

Accident Insurance Claim  Employee (with Consumer Privacy Notice 47316c attached) for certificates issued by ReliaStar Life Insurance Company

165758 (01/14/13)

Compass Accident Claim - Employer (with Consumer Privacy Notice 47316c attached) for certificates issued by ReliaStar Life Insurance Company

165759 (11/11/13)

Wellness Benefit Rider Claims

Please distribute the claim form to the insured.  The Consumer Privacy Notice is attached.

Form NameForm Number

Accident Insurance Wellness Benefit Rider Claim Employee (with Consumer Privacy Notice 47316c attached) for certificates issued by ReliaStar Life Insurance Company

165760 (2/7/14)