How to File a Death Claim

The Lafayette Life sales and service philosophy is based on personalized service. We contract experienced professional insurance agents and brokers to represent the Lafayette Life Insurance Company to assist you in all service issues including filing claims.

If you have had a relative recently pass away and require assistance filing an insurance claim please review the information below.

Individual Filing

Fill out a W-9 form: Include Name, Address, & Social Security Number of the Beneficiary. (See your Agent.)
Fill out Beneficiary's Statement and Payment Direction form. (See your Agent.)
Obtain a certified copy of the Certificate of Death from the Health Department.

(There are some special cases where more work will be required. i.e. Trusts, Estates, Predeceased Beneficiary, and Special arrangements)

If you have any further question or concerns contact the claims department at (800)243-6631 or e-mail them at Claims@llic.com. You can also fill out the form below for further information. Please provide sufficient information to contact you. Rest assured, your contact information will only be used by The Lafayette Life Insurance Company.

Your Name:
Street Address:
City:
State:
Zip Code:
E-mail Address:
Home Phone Number:
Business Phone Number:
Best time to call:
Claim Number: