Selman And Company Claim Form. Web for claims submitted via paper claim forms: Web you can revoke this authorization at any time by submitting a written revocation to selman & company, p.o.
Log in forgot user name or password ? Web fidelity life association provides the forms and documents needed to process a claim based on your state. Get a quote, learn more, and enroll online. Info.selmanco.com/chat please note you will need the phone number. Registration is a two step process: Web in new york, insurance products and prepaid dental products are underwritten or provided by sun life and health insurance company (u.s.) (lansing, mi) (slhicus) or by. If you must submit your own claims, use this claim form. Beneficiaries addresses, names & more. Tell us who you are. Web any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the. Benefits, eligibility and claim forms: