Annuity Claim Form - gaconnect.com
Policy / Contract / Certificate # K2655017NW (9/17) Page 3 of 10 LUMP SUM PAYMENT Complete this section if you want your portion of the death benefit in one payment.
Download Annuity Claim Form - gaconnect.com
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CONTRACT/CERTIFICATE …
gaconnect.comX6002701NW (Rev 3/16/2018) Member Companies: Administrator for: Great American Life Insurance Company ® Continental General Insurance Company Annuity Investors Life Insurance Company® Loyal American Life Insurance Company®
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CLAIM FORM AND INSTRUCTIONS
www.seemybenefitsonline.comCLAIM FORM AND INSTRUCTIONS If you have any questions regarding benefits available, or how to file your claim, or if you would like to appeal any determination, please contact our Customer Care Center at