Please use latest version of Internet Explorer or Google Chrome for better application performance Claim Type User Details Claim Details Supporting Documents Review Confirmation Welcome to the Claims Entry site. Please enter details below to submit your claim. Fields marked with an asterisk (*) are required * Type of Claim: Select an option Life Accidental Dismemberment Living Benefit Life Waiver of Premium Short Term Disability Long Term Disability * Please retype the characters from the picture: Attach file to existing Claim If you do not have all of the required information, you can call our Customer Service number for Life Claims call: 800-552-2137, for Disability claims call: 800-813-5682 to see if we may be able to assist you with filing the claim. Life and Disability products underwritten by Anthem Life Insurance Company. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc