Aetna Accidental Insurance Claim. Group life insurance and group accidental death benefit request (filing instructions on reverse side) please fax or mail this claim to: If none is indicated, the default currency is.
Accidental injury report of claim if you'd like to submit your claim online, visit supphealthclaims.com there are several ways to file this claim form. Group life insurance and group accidental death benefit request (filing instructions on reverse side) please fax or mail this claim to: Injured person completes sections 3 and 4.