SCHOOL CLAIMS SERVICE, LLC
Serving the best interests of Pennsylvania's public schools

Group Life Participants
School Claims Service, LLC, is excited to be the plan administrator for your state's Group Life Insurance program, underwritten by Assurant Employee Benefits, effective Nov. 1, 2007.

SCS is a wholly owned subsidiary of the PSBA Insurance Trust and has administered this group life program for public schools in Pennsylvania since 2000.

SCS specializes in delivering insurance and risk management services and products to schools statewide. We look forward to providing these same services to Ohio public school entities, in conjunction with Assurant Employee Benefits and the Ohio School Boards Association.

If you have questions regarding coverage, plan designs or claims, or are in need of new booklets or certificates, please call our toll-free number (866) 691-6290.

Below are links to all the necessary group life coverage forms

Group Life Insurance Forms

• Accelerated Benefit Claim Statement
• Accelerated Benefit Claim Statement -- Supplement
• Accidental Death and Dismemberment Claim Statement
• Beneficiary Designation
• Beneficiary Tips
• Disability Claim - Waiver of Premium
• Employee Application
• Extended Employee Application
• Group Life Premium Statement
• Life Claim Statement
• Long-Term Disability Claim Statement
• Long-Term Disability Conversion Form
• Long-Term Disability Notice of Conversion
• Request for Conversion
• Short-Term Disability Claim Statement
• Sort-Term Disability Notice of Conversion
• Supplemental Life Premium Statement
• Supplemental Life Premium Statement -- Age Band
• Surviving Family Claim Statement

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