AIL Cohen-Cohen Policyowner Services – Make A Policy Claim

Need to make a policy claim? Please print the appropriate claim document below and follow the instructions provided:

Accident, Health and/or Disability Claim Form – Print this form and have the policyowner fill out Part A. Part B needs to be completed by the attending physician of the insured.

Cancer Claim Form – Print this form and have the policyowner fill out Part A. Part B needs to be completed by the attending physician of the insured. A pathology report needs to be included with this claim form.

HIPAA Medical Authorization Release Form – Print this form if your policy is within two years of issue. This allows American Income Life to access your medical information so the Company can process your claim.  

Lay-Off Waiver Form – Print and submit this form within 60 days of being laid-off. If you qualify, you may receive a lay off waiver.

 Strike Waiver Form – Complete this form if your union is on an authorized strike. If you qualify, American Income Life Insurance Company waives your premiums for up to 12 months.

Unclaimed Property – If you believe you are the owner of unclaimed funds held by American Income Life, visit this page to learn more.

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State General Agent Micah A. Cohen,

License Number 0C38927

State General Agent David M. Cohen,

License Number 0542414

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