• Liberty National Life Claim Services
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Liberty National Life Claim Services


Death Claim

To file a Death Claim, please print the Proof of Death form by clicking on the link below and following the instructions at the bottom of the form.

Proof Of Death - Claimant's Statement

Please mail completed claim form(s), certified death certificate, and other supporting documents to:

Liberty National Life Insurance Company
Insurance Services Division
PO Box 8066
McKinney, TX 75070

First Occurrence (Initial) Cancer Claim

To file a first occurrence (Initial) cancer claim, use the Initial Cancer Claim Checklist provided below to verify all necessary materials are sent to Liberty National. If the required materials aren't sent at the same time, your claim could be delayed while waiting for the additional paperwork.

Please note claims for policies in force less than two years are subject to review, which can delay payment of claims. If your claim falls within this period, the HIPAA and Provider's History forms are also required.

Initial Cancer Claim Checklist
Claimant Statement (L252)
Individual Health Insurance Claim (L251)
HIPAA
Provider's History

Please mail completed forms and supporting documents to:

Liberty National Life Insurance Company
Attn: Policy Benefits Department
P.O. Box 8080
McKinney, TX 75070

Other Claims

To file accident, hospital indemnity, cancer, or critical illness claims please provide the following documentation. Required materials should be sent together to avoid processing delays.

  • Claimant and Employer Statement - required for all claims
  • HIPAA - required if policy has been in force less than two years
  • Provider's History - required if policy has been in force less than two years
  • Individual Health Insurance - Claim (L251) - required for disability claims
  • Transportation Statement (L405) - required for transportation claims
  • UB04 - required from hospital at which you were treated
  • CMS 1500 - required from your treating physician
  • Itemized bills - required for radiation, chemotherapy, and blood claims. Must show type of service rendered, charge per service, number of units per service, and diagnosis.
  • Prescription drug receipts - required for prescription claims. Must show the date, type of drug, NDC number (prescription number), and actual drug costs.

Please mail completed forms and supporting documents to:

Liberty National Life Insurance Company
Attn: Policy Benefits Department
P.O. Box 8080
McKinney, TX 75070


Copyright 2013, Liberty National Life Insurance Company, a Torchmark Company, is licensed in all U.S. states except New York