Life Insurance Company of Boston & New York
Services for Employers


Our knowledgeable Claims staff is committed to providing you with a superior customer experience. At Life Insurance Company of Boston & New York, our insureds and clients are our priority. For your convenience, our claim forms are available below. If you are unable to locate what you need, please call us at 877.274.1958 and we’ll be happy to assist you.If you are an employer needing forms to file a claim for group life, or a third party administrator who administers group benefits, please select from the following list of forms.

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Claim Forms

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Accident Insurance

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Disability / Waiver of Premium

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