Resources Group Login Agent Login Become an Agent About Products Submit a Claim Find an Agent Request a Quote Contact Us LICOA.comSubmit a Claim Submit a Claim We're Here For You! Wellness Claim To file your Wellness Claim, please click here. Please Note: Not all Life Of Alabama Cancer policies contain a wellness benefit. Please review your policy before filing a claim. Instructions for forms. Please print and complete all 3 forms. Instructions are listed at the top of each form. Mail claims to: Life Insurance Company Of Alabama P.O. Box 349 Gadsden, AL 35902 To Protect any personal or family Information, Please do NOT send by EMAIL: Any confidential, personal, or sensitive information. Social Security Numbers or Driver’s License Numbers Claims or other policy related documents Health information. Life Insurance Company of Alabama is not responsible or liable for any loss due to information sent to us by email. By sending us any information by email, the sender takes full responsibility and liability for the information contained within the email. Phone (256) 543-2022 (800) 226-2371 Fax 256-399-0226 - Customer Service 256-549-0070 - Claims Postal P.O. Box 349 Gadsden, AL 35902 Email customerservice@licoa.com Office Hours Mon - Thur: 8:15 AM - 4:45 PM Friday: 8:15 AM - 12:15 PM Claims, Policy Service & Underwriting Forms Dread Disease Claimant's Statement Heart Attack Claimant's Statement Hospital Indemnity Claimant's Statement Intensive Care Claim Claimant's Statement Major Heart Surgery Claimant's Statement Accident Claimant's Statement Cancer Claimant's Statement Cancer Lump Sum Claimant's Statement Disability Income Claimant's Statement The following two forms must be submitted with all of the above claims forms. Authorization To Release Information Physician Statement Death Claim Claimant's Death Statement Affidavit of Lost Policy: The Affidavit of Lost Policy is only needed if you do not have the original Life Policy Policy Service Forms Beneficiary Change Form Name Change Form Underwriting Department Forms Drug Questionnaire Hazardous Sports Questionnaire Authorization to Release Info Replacement of Life Insurance or Annuities Statement of Good Health and Insurability Tobacco Use Questionnaire LICOA.comSubmit a Claim Copyright © 1952-2021 - Life Insurance Company Of Alabama - All Rights Reserved (256) 543-2022 (800) 226-2371 Terms & Conditions Privacy Policy