Receive approved medical expense compensation as an insurance policy holder!

Last Expense Form

Our Last Expense form is tailored for the next of kin who are seeking compensation for authorized expenses associated with a deceased member. To simplify the process, please follow the steps outlined below:

To request the final expense for the death of your loved one as the next of kin, you have the option to personally complete the final expense form. Alternatively, if you prefer, an intermediary such as a broker, your HR department, or another trusted third party can assist in completing the form on your behalf.

Here's a simple step-by-step guide:
  1. Provide Contact Details: Start by filling out your contact details. This ensures we can reach you promptly and efficiently.
  2. Provide Details of the Deceased: Begin by filling in the necessary information about the deceased individual.
  3. Upload Necessary Documents: Please upload any essential documents, such as a burial permit or related paperwork. These documents are crucial for processing your request and facilitating a smooth reimbursement.
  4. Details of Next of Kin: Complete the section that pertains to the next of kin. This information is vital for communication and ensuring that the reimbursement is directed to the appropriate individual.
  5. Select Your Preferred Payment Method: Select your preferred payment method and provide your details for direct reimbursement of the approved amount.

By following these straightforward steps, you can navigate the Last Expense form with ease. Should you have any questions or require assistance, our support team is here to provide guidance and support during this sensitive time. We understand the importance of a smooth and compassionate process during such circumstances.

Get Started

Please provide your contact information to get started. You can choose to independently complete the reimbursement form or seek assistance from a third party, such as a broker or your HR department.