Individual Claims Forms

Note: All forms are Adobe Acrobat Portable Document Files (PDFs). Click on the Adobe icon to receive the latest Acrobat Reader for free.

For all individual life death claims, we must have an original or certified death certificate.

The Individual Claim Department may be contacted directly at:

  • Security Mutual Life Insurance Company of New York
  • Attn: Individual Claims
  • P.O. Box 1625
    100 Court Street
    Binghamton, NY 13902-1625

For Individual Death Claims

For Individual Accident Claims

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