How To Apply

How do I or my survivor apply for benefits? Before you or your beneficiary can receive Life and Disability Insurance Program benefits, you must file a proper claim.
Claiming Death, Dismemberment or Survivor Income Benefits You or your beneficiary should make a claim as soon as possible in the event of death or dismemberment. To begin the process for a death claim, your family or beneficiary will need to provide copies of the death certificate certified by the governmental unit maintaining the record. Death certificates usually are kept on file in the Department of Health of the city or county where death occurred. You may contact that office directly to obtain the number of death certificate copies you need. Usually, only certain members of the immediate family may obtain these copies. The funeral home director might obtain the death certificate copies for your family.
To file a claim for Life Insurance, Accidental Death and Dismemberment Insurance or Survivor Income Benefits
	Claims for Life Insurance, AD&D or Survivor Income benefits should be addressed to: UNICARE Life and Health Insurance Company Dearborn Service Center 3200 Greenfield Dearborn, Michigan 48120 1-800-843-8184
To file a claim for Optional Group Life Insurance, Dependent Group Life Optional Insurance or Accident Insurance Benefits, follow these steps:
1.	Contact the carrier directly: Mutual of Omaha Ford Hourly Optional Insurance Plan 2720 South River Road, Suite 116 Des Plaines, Illinois 60018 (708) 299-9393 1-800-742-8215
2.	Complete the notice of claim form obtained from the carrier. Then return the form and a certified copy of the death certificate to the carrier.
3.	You may receive a form requesting additional information from the carrier.
To file a claim for Safety Belt User Benefits, follow these steps:
1.	Contact the carrier directly: Mutual of Omaha Ford Hourly Optional Insurance Plan 2720 South River Road, Suite 116 Des Plaines, Illinois 60018 (708) 299-9393 1-800-742-8215
2.	Within 30 days of the date of death, you or your beneficiary must submit the following information to the carrier:
	Æ	written notice of the loss and a certified copy of the death certificate and
	Æ	evidence sufficient to prove that the covered participant was properly wearing a qualified passenger restraint as defined by the Program.
3.	If it is not reasonably possible to submit the required information within 30 days, you or your beneficiary will have up to one year to make the claim.
Claiming disability benefits To file a claim for Accident and Sickness or Extended Disability Benefits, follow these steps:
	Your claim should be reported directly to: Call - 1-800-572-1581 (Paperless Claim System) UNICARE Life and Health Insurance Company Ford Group Office P.O. Box 4479 Dearborn, Michigan 48126

Send mail to webmaster@uawbenefits.org with questions or comments about this web site. Last modified: 06/07/2011

Send mail to webmaster@uawbenefits.org with questions or comments about this web site.
Last modified: 06/07/2011