Notify us of the death of someone insured by a policy underwritten by Insurance Broker Connect Ltd. Report a Claim

Check a Policy Status

REPORT A LIFE INSURANCE CLAIM

Use “Report a Claim” to notify Insurance Broker Connect Ltd Company of the death of someone insured by a policy underwritten by Insurance Broker Connect Ltd Company.

Please provide the Deceased Insured Information and Policy Number (optional). All Insurance Broker Connect Ltd Life Insurance policy numbers contain 12 digits and begin with an alpha (AIB/REF) and numeric (0-9) character.

Policy Holder Information

Policy Number of the Deceased Insured (Optional)
Full Name of Deceased Insured
Deceased Insured’s Date of Birth
Deceased Insured’s Date of Death
Cause of Death
If Other, please specify.
Which State and/or Country Did the Death Occur?

Information of the Person Reporting the Claims
Reporter's Name
Relationship to the Deceased

Address
City
State
ZIP Code
Phone Number
Email Address
Other (Optional) e.g. Funeral home information


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