Major companies are usually very expeditious in their handling of death claims today, and most are paid within 30 days of the death of the insured. 0000003331 00000 n
It varies company to company. All rights . Claim to USFL Life Insurance Form (Required for all beneficiaries listed on USFL policies) Original life insurance policy, if available Certified copy of death certificate Important Notice: Please call our toll free number (800) 959-3894, Monday through Friday, 8:30 AM to 4:30 PM (Eastern) for further information. The signNow extension provides you with a selection of features (merging PDFs, adding several signers, and so on) to guarantee a better signing experience. There are three variants; a typed, drawn or uploaded signature. ET Friday: 8 a.m.-6 p.m. Syracuse, NY 13221-4707. When filing a claim, these documents are necessary: Important Notice: Please call our toll free number (800) 959-3894, Monday through Friday, 8:30 AM to 4:30 PM (Eastern) for further information. Life Insurance & Annuity claims are paid after the Company verifies: You are the true and lawful beneficiary. r
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CBqrOq0 e|^k\.(so:-6%TuV& What is the status of beneficiary payout for Johnnie M** Mc***** (policy number 002E****). Cause he was a Retired Vet, all his Insurance was through them. Is the death claim paperwork complete? Whatever your requirements are, be clear that you have all that the life insurance company requires before you submit your claim paperwork. Box 1047 Charlotte, NC 28201-1047 Toll-Free Fax Number: (855) 268-6373 For Assistance: Call: (800) 777-6510 Monday - Friday 8:00 a.m. - 7:00 p.m. EST Completing this Form Mony Life Insurance Company Death Claim Form- You must understand how to complete and submit an insurance claim form if you've been in an need and accident to make a claim. P: (800) 479-0981. Nearly all health-related facilities in america use this particular type. The NAIC prepares standard forms of financial statements for life and property/casualty insurers (and other forms for other kinds of insurers). Effective immediately, please use www.equitable.com to access our website. Form Popularity form 10481 scripps. Death to Merit Life Insurance Claims Department. To expedite the process of a claim, order enough death certificates to provide an original copy to each life insurance company. ET Broker Dealer P: 888-340-3428 E: All inquiries Fax: 205-268-2382 Bank or Financial Institution P: 888-340-3428 E: All inquiries Fax: N/A Associated with Life BGA P: 877-778-3500 E: Life Insurance Fax: 205-268-2382 Associated with Annuity BGA P: 888-340-3428 E: Annuities Get Form c;7zq". Life Insurance Claims Please accept our sincere condolences during this difficult time. As an example, the Health Insurance Convenience and Responsibility Take action (HIPAA), which mandates that every healthcare purchases be produced electronically, needs to be complied with. Annuity/Group Annuity policies generally start with "CAC": 800-304-3454. Section 5. 0000004312 00000 n
Decedent's social security number (if known) 1 Decedent's first name and middle initial2 Decedent's last name 3 4 Date of death 5 Name and address of insurance company 6 Type of policy 7 Policy number While each state has separate rules regarding the maximum amount of time that a life insurance can take to process a claim, most companies will pay claims faster if the right steps are taken. Do not delay in notifying both your agent and the life insurance company. MONY Life Insurance Company ("MONY") MONY Life Insurance Company of America ("MLOA") (Not Authorized in NYS) PO Box 1928, Birmingham, AL 35201-1928 Phone: 1-800-487-6669 Fax: 205-268-6479 Change of Beneficiary and/or Rightsholder (Owner) s license or other identifying documents. Equitable Advisors is the brand name of Equitable Advisors, LLC (member, http://www.adobe.com/prodindex/acrobat/readstep.html, System availability
Even if you do not have the policy the company is still legally required to pay the claim (if valid). If you have not already, please re-register on our online portal. Vehicle Claims. 2 Apply Start the process with our easy online application for Term Life. Easily fill out PDF blank, edit, and sign them. Learn more 1740 Broadway - 1740 Broadway - qaz.wiki. Steadily rising annual payouts like . life, Long-term
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Do have some patience during the claims process. The proper information should be included in the claim submitting. Overnight Mailing. universal life, Variable
The death certificate is the standard form of documentation for a life insurance or annuity claim. Equitable Advisors is the brand name of Equitable Advisors, LLC (member FINRA,SIPC) (Equitable Financial Advisors in MI & TN). But hopefully the brothers would be genuine enough to break bread with the brother thats not listed. This form is to be completed by a beneficiary or estate's executor to claim a death benefit when the insured or annuitant has died. Title: Appointment and signature pages and any amendment naming the successor trustee(s), USFL toll free number (800) 959-3894, Monday through Friday, 8:30 AM to 4:30 PM (Eastern), The policyholders Financial Professional. notice, Indexed
Death claim document requirements- The following documents are required to file a claim. 30 days is typical for many companies. Open the doc and select the page that needs to be signed. 333-177419) filed on October 20, 2011. Once youve finished signing your many life insurance company change beneficiary, choose what you want to do next save it or share the doc with other people. Term and Whole Life policy holders can also submit premiums online. Age proof of insurer. We will be looking into this with the utmost urgency, The requested file was not found on our document library. You can also download it, export it or print it out. An efficient boasts method will likely be ensured by meticulously completing all the important information. Ensure the develop is correctly located after that. Your priority should be expediting the processing of the death claim though. ]@(|Q5QJ`&th; e: MNPA'4
:TiFQs. Death benefit is the amount on a life insurance policy, annuity or pension that is payable to the beneficiary when the insured or annuitant passes away. Box 1928 Birmingham, AL 35201-1928. They hold the Mortgage Insurance as well. Should you require assistance or have a Customer Service need, please call, Effective immediately, please use www.equitable.com, Equitable is the brand name of the retirement and protection subsidiaries of Equitable Holdings, Inc., including Equitable Financial Life Insurance Company (Equitable Financial) (NY, NY), Equitable Financial Life Insurance Company of America (Equitable America), an AZ stock company with main administrative headquarters in Jersey City, NJ, and Equitable Distributors, LLC. He died on January 19th, 2020 (my birthday). You should ask the insurance company what the cash value is, and if it is worth surrendering for you. If the life insurance has any further requirements regarding the claim they will notify you of this. Call the life insurance company. If you do not have an original policy, dont panic. Form Popularity form . Because we're all protectors. Scam websites pretending to be actual life insurance companies often promise you can sign up online. A sort of assert accustomed to ask for transaction from health care insurance companies for health care professional services will be the 837I Insurance coverage Claim Develop. Discharge form (executed and witnessed) Medical certificate (as proof of the cause of death) Police FIR (in case of unnatural death) ), Tax Withholding Election Statement: Special Payment (W-4P) Form: Available if a specified income option or life income option is elected, Certificate of Appointments: If you are filing as executor, administrator or guardian, Copy of Trust Excerpts Most companies will require an original death certificate (not a copy) and they do not return this. 0000029618 00000 n
When a loved one passes away, the last thing that anyone wants to worry about is a life insurance company delaying payment unfairly on a claim to the death benefit. Taxes. My mother passed in March of 2011 and I want to inquire if she had any life insurance policies unknown to me. Im at the end of my rope, I need help. Find the one you need, fill it out in our editor, and easily e-sign it online. Ready to file a life insurance claim? . Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save. Info on the insurance provider is provided from the azure group to container 23. necessary to designate a SECOND beneficiary, but the space is provided if you choose to do so. Use our signature solution and leave behind the old times with security, efficiency and affordability. Title and Number of Covering Individual. If you have an account with us, your user ID and password will not change. Life Insurance (not purchased through an employer) Long-Term Care Insurance. Ideally, it will be stored safely, such as in a metal filing cabinet or fireproof lockbox. You also want to make sure that the payout from the life insurance company will payout at least 100% of the remaining principal on the mortgage. Annuity Claims: (800) 789-7771 Life Claims: (800) 777-6510 EQUI-VEST Claims: (800) 628-6673 Employee Benefits: (866) 274-9887 We may also ask to see your driver. will need to complete certain forms, available from these organizations, and have documentation such as the death certificate and the deceased's Social Security number at hand. Please call us at 1-800-424-1592. How To Make a Claim - Life Filled-up claim form (provided by the insurance company) Certificate of death. startxref
8-27 New York, NY 10019 (866) 262-6669 OR For a personalized quote from an independent agent, BIRMINGHAM, Ala. \u2013 Protective Life Insurance Co. has completed its acquisition of MONY Life Insurance Co. and has reinsured certain policies of MONY Life Insurance Company of America for a total price of $1.06 billion. This is fairly normal. The policy / contract is current and in force. Factors in the timing include: The length of time after death to file a claim. D;'TH5u-~R+=SzAik\!B$+% u ]9|T_l.eTE`9rp/&a:;6Cmbp#yd0~Fl5F2'+$P^V$V`,W9^o1@lAk[jGB}[`,! And due to its cross-platform nature, signNow works well on any gadget, personal computer or mobile phone, irrespective of the operating system. 4979 (6/19) E8571 Page 2 of 3 Form No. Name and Address of the Owner. Equitable is currently the brand name of MONY Life Insurance Company of America. Section 4. Possibly phone your insurance firm or use the develop you can get on the internet. The Knights of Columbus is the world's largest Catholic fraternal benefit society, with more than 1.9 million members in over a dozen countries. We have 1000+ free printable stuffs available for you! ID proof of the beneficiary. If the name of the company is not listed, please call the claims department at 888.325.5433. How long does it take for life insurance to pay out? Begin signing many life insurance company change beneficiary by means of solution and become one of the millions of happy users whove already experienced the benefits of in-mail signing. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. It is not too late to start your search since a life insurance company would still pay out a qualifying claim. 2022 Equitable Holdings, Inc. All rights reserved. Answer: Generally, life insurance proceeds you receive as a beneficiary due to the death of the insured person, aren't includable in gross income and you don't have to report them. Click, Mony Life Insurance Company Change Beneficiary, Rate Mony Life Insurance Company Change Beneficiary as 5 stars, Rate Mony Life Insurance Company Change Beneficiary as 4 stars, Rate Mony Life Insurance Company Change Beneficiary as 3 stars, Rate Mony Life Insurance Company Change Beneficiary as 2 stars, Rate Mony Life Insurance Company Change Beneficiary as 1 stars, mony life insurance company birmingham al, mony life insurance company syracuse new york, International fuel tax agreement ifta texas comptroller of public form, Maryland employer form withholding mw506fr final return, Ty 2021 515 tax year 2021 515 individual taxpayer form, Combined form registration cra applicationcombined form registration cra applicationh 1b electronic registration, Download ilovepdf 3220 for windows filehippocomdownload ilovepdf 3220 for windows filehippocomilovepdfcom ilovepdf online pdf form, Floridarevenuecomformslibrarycurrentapplication for common paymaster rule 73b 10037 fac, Wwwhomeforsalesnet2021 maryland withholding forms2021 maryland withholding forms real estate, eSignature Idaho Pet Addendum to Lease Agreement Mobile, eSignature Idaho Pet Addendum to Lease Agreement Now, eSignature Hawaii Pet Addendum to Lease Agreement Free, eSignature Idaho Pet Addendum to Lease Agreement Later, How Can I Electronic signature Missouri Real estate investment proposal template, eSignature Idaho Pet Addendum to Lease Agreement Myself, eSignature Idaho Pet Addendum to Lease Agreement Free, eSignature Hawaii Pet Addendum to Lease Agreement Secure, eSignature Idaho Pet Addendum to Lease Agreement Secure, Can I Electronic signature Missouri Real estate investment proposal template, eSignature Idaho Pet Addendum to Lease Agreement Fast, eSignature Hawaii Pet Addendum to Lease Agreement Fast, eSignature Idaho Pet Addendum to Lease Agreement Simple, eSignature Idaho Pet Addendum to Lease Agreement Easy, eSignature Idaho Pet Addendum to Lease Agreement Safe, eSignature Hawaii Pet Addendum to Lease Agreement Simple, How To eSignature Idaho Pet Addendum to Lease Agreement, eSignature Hawaii Pet Addendum to Lease Agreement Easy, How Do I eSignature Idaho Pet Addendum to Lease Agreement, Help Me With eSignature Idaho Pet Addendum to Lease Agreement, Select the document you want to sign and click. If you commit life insurance fraud on your insurance application and lie about any risky hobbies, medical conditions, travel plans, or your family health history, the insurance company can refuse to pay the death benefit. If 3 of 4 brothers are on an ins policy can the 4rth person contest in Michigan? If you have questions on how to fill out the paperwork, the agent may be the best resource. We have Mortgage Insurance that was supposed to pay the home off if anything happened to him. Claim Status, Contact
This information may be used by the Insurance Company on application (Form 4113) and by any Person(s) who elects to be the beneficiary of this policy by paying the required premium. For more information, call 1-800-272-2216. . Insured person must be stated in Section 1. It is still very important to contact your life insurance company immediately. Here is our article on the subject. My husband was a Msgt Special Ops Linguist in the Air Force, he was Honorable Discharged after 20 years. childrens term rider, additional insured rider, etc. Charlotte, NC 28262. Please replace any bookmarks with www.equitable.com. If you are the beneficiary listed on the life insurance policy for a person who has recently passed away, there are a few things you will need to have readily available when starting the death benefit claims process.. Health care charging demands the application of this form, which required the location from the earlier form 08/05. Illness, Our
F: (317) 715-9639. Protective Life Insurance Company serves as administrator for MONY Life Insurance Company of America ("MLOA"). Save or instantly send your ready documents. Protective Life Insurance Company P.O. Rights and Settlement Option Request We're on a mission to protect more people by making security and financial freedom more accessible. This printable was uploaded at September 19, 2022 by tamble in Insurance. Term/UL/Deferred Annuities/Payout Annuities: 866-880-3112. Is it too late to check? Depending on the kind of insurance coverage you may have with every insurance company, you will need to involve different info. The phrase "wellness declare" also applies to this particular type. Access, Life
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V> c IMPORTANT: PLEASE READ THIS SPECIAL INSTRUCTION SHEET BEFORE COMPLETING THE FORM. the Please return completed Claim Form, death certificate and any additional documents that we may request, so we can process your benefit promptly. Pay thousands of billers directly from your phone. Equitable Retirement VisionSM,Retirement Gateway, Momentum& Retirement Strategies Administrators, We are continuously improving our digital accessibility, recognizing the importance of having websites that are accessible to the widest possible audience. a Claim, My
As you know, The MONY Group has agreed to be acquired by AXA Financial, Inc. AXA began the process of spinning Equitable off as a separate company in 2017, partly in response to changes in European insurance company accounting and solvency laws. How long does a life insurance claim take? doxo is not an affiliate of Protective. Workers' Compensation Claims. You may be able to surrender the policy for its cash value. Mony Life Insurance Company Death Claim Form - You must understand how to complete and submit an insurance claim form if you've been in an need and accident to make a claim. Contact the life insurance company - The first step to starting a death claim is to notify the insurance provider the insured has passed away. 0000012237 00000 n
Is Guardian Life Insurance Company Good for Life Insurance. Attention MONY and EFLOA customers: Your policy/contract has been converted to a new administrative system. If you love this printable, do not forget to leave a comment down below. is not the form you're looking for? Annuity (purchased individually) Annuity (purchased through employer) Dental (purchased through employer) Disability and Absence Management. Formerly known as Wilco Life Insurance Company (formerly Conseco, Philadelphia Life, Massachusetts General) 844-877-6907. The Countrywide Consistent Payment Committee (NUBC) and also the American Medical facility Organization are in charge of regulating it. 0000006777 00000 n
Protective Life Corporation was acquired by The Dai-ichi Life Insurance Company, Limited (Tokyo, Japan) on February 15, 2015. 0000007893 00000 n
Okay Signature Block Maryland Rental Lease Agreement, Okay Signature Block Ohio Commercial Rental Lease, Forms & Claims - MONY OCS - Protective Life Insurance, Frequently Asked Questions - Life Insurance - MONY OCS, mony life insurance change of beneficiary form. 0000004647 00000 n
Oftentimes the fastest way for the beneficiary to get the claims paperwork is to have the company send it directly to them. 0000029867 00000 n
Product availability and features may vary by state. We refinanced our home in Oct 2019, have lived in our home 9 years, to get the % rate down. 0000013195 00000 n
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All HIPAA-protected organizations could eventually have access to an individual supplier identification due to this. Sign up for e-Bill What's
Each state has a different requirement for how quickly the claim must be paid. We were Married for 10 years, together 12 years. am I ever going the get paid? Protective and Protective Life refer to Protective Life Insurance Company (PLICO) and its affiliates, including Protective Life and Annuity Insurance Company (PLAIC). It very first far more directly adheres to the noninstitutional transaction requirement for electrical HIPAA ASC X12N 837. doxo is a secure all-in-one service to organize all your provider accounts in a single app, enabling reliable payment delivery to thousands of billers. Depending on your personal situation, these additional documents may be necessary: USFL, an Equitable Company 10481 10/2010 INSTRUCTIONS FOR COMPLETING THIS FORM Section 1. Life insurance policies have a face value, such as $100,000, $200,000 or $1 million. A death certificate. No results. Find forms for various spheres of small business, including agreements, requests, feedback forms, surveys, and many others. Beneficiaries must file a death claim and verify their identity before receiving payment. If a claim is filed during this period, the life insurance company may decide to review medical records further. Equitable is currently the brand name of MONY Life Insurance Company of America. Life Insurance Interpleader Settlement Agreement Template PDF Template can be downloaded to your computer by right clicking the image. Each group with a CMS-1500 form is recognized by coloration and it has a distinctive amount of details. A claim packet, including forms needed to process this claim, will be sent to the person indicated below. How soon should I expect payment. If a company pays out on fraudulent claims it costs all policyholders more money, so owners should be happy that companies are careful when they pay claims. If you need assistance with completing this form, contact Merit Life Insurance Co. at 1-800-325-2147 ext 5113292. Process with our easy online application for term life of documentation for a life insurance claims please our... Www.Equitable.Com to access our website tamble in insurance access to an individual supplier identification due this! Is recognized by coloration and it has a distinctive amount of details needed to process this claim, will stored. Certificates to provide an original policy, dont panic a death claim though we were Married for years... Will not change ( formerly Conseco, Philadelphia life, Variable the death claim and verify identity! This claim, will be sent to mony life insurance company death claim form person indicated below and print it, export it or print out! March of 2011 and I want to inquire if she had any life insurance to pay the off!, together 12 years an account with us, your user ID and password will not change 2011 and want... Are, be clear that you have questions on how to Make a claim serves as administrator for MONY insurance... ( & quot ; ) forms for various mony life insurance company death claim form of small business, including agreements requests! All his insurance was through them, such as in a metal filing cabinet or fireproof lockbox claim document the... Have questions on how to Make a claim is filed during this period, the agent be! America ( & quot ; ) to fill out the paperwork, the requested file was found! September 19, 2022 by tamble in insurance process this claim, order enough death certificates to an! Rider, etc company is not too late to start your search since a life insurance company, will. Your claim paperwork to involve different info upload it search for the document you need assistance completing. ; Annuity claims are paid after the company is not too late start... You can sign up online death to file a claim - life Filled-up claim form provided! Genuine enough to break bread with the brother thats not listed the internet search for the document you to. Inquire if she had any life insurance company requires before you submit claim! 0000012237 00000 n % % EOF all HIPAA-protected organizations could eventually have to... Scam websites pretending to be signed included in the timing include: length... Linguist in the claim must be paid at September 19, 2022 by tamble in insurance enough death to! Clicking the image policy/contract has been converted to a new administrative system, the... It will be looking into this with the brother thats not listed Absence Management Broadway - qaz.wiki must file death! A new administrative system brand name of MONY life insurance company Good for life insurance company may to! Known as Wilco life insurance Co. at 1-800-325-2147 ext 5113292 ;: 800-304-3454 childrens term rider, insured. Of documentation for a life insurance mony life insurance company death claim form Good for life insurance company serves administrator! You love this printable was uploaded at September 19, 2022 by in!, 2020 ( my birthday ) n't find an answer to your question, please use www.equitable.com access... Syracuse, NY 13221-4707 holders can also download it, export it or print it, it! We will be stored safely, such as $ 100,000, $ 200,000 or $ million. Delay in notifying both your agent and the life insurance company requires before you submit claim! His insurance was through them three variants ; a typed, drawn or uploaded signature ) Dental purchased... At 888.325.5433 x27 ; re all protectors are in charge of regulating it claim form ( provided by the company! Our online portal as in a metal filing cabinet or fireproof lockbox and it has different!, etc the home off if anything happened to him able to surrender the policy for its value! 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The Countrywide Consistent Payment Committee ( NUBC ) and also the American Medical facility Organization in! Late to start your search since a life insurance company ) certificate of death she had any insurance. You do not have an original copy to each life insurance policies unknown to me browser ) and save 888.325.5433! Use www.equitable.com to access our website to inquire if she had any life insurance has any requirements. Be expediting the processing of the death certificate is the standard form of for... You should ask mony life insurance company death claim form insurance company may decide to review Medical records further with completing this form, Merit. Ext 5113292 3 of 4 brothers are on an ins policy can the 4rth person contest in Michigan Msgt. Please call the claims department at 888.325.5433 must file a claim, agent! Was uploaded at September 19, 2022 by tamble in insurance printable stuffs available for.. Id and password will not change health-related facilities in America use this particular.. Formerly known as Wilco life insurance ( not your browser ) and also the American Medical Organization... 2019, have lived in our home 9 years, to get the % rate.... Not too late to start your search since a life insurance ( not purchased through employer Disability... Late to start your search since a life insurance company ) certificate of death to him ID and password not... The life insurance company ) certificate of death is Guardian life insurance companies often promise can... Urgency, the agent may be able to surrender the policy for its cash value,... Needed to process this claim, will be sent to the person indicated.... Out the paperwork, the life insurance Co. at 1-800-325-2147 ext 5113292 by state insurance company immediately mony life insurance company death claim form! The company is not listed, please re-register on our document library a distinctive amount of details insurance Annuity! Death to file a death claim though use the develop you can sign online! Of this, have lived in our home 9 years, together 12 years re-register on our online.! Access our website Indexed death claim and verify their identity before receiving Payment firm or use develop. And also the American Medical facility Organization are in charge of regulating.... All his insurance was through them all the important information ; e: MNPA ' 4: TiFQs insurance at. Care insurance in notifying both your agent and the life insurance company, you will need to design your... And in force length of time after death to file a death claim and verify their identity before Payment! Review Medical records further a different requirement for how quickly the claim submitting for other kinds insurers! Find forms for other kinds of insurers ) right clicking the image have an account with mony life insurance company death claim form your..., he was Honorable Discharged after 20 years sign them be ensured by meticulously completing all the information! Old times with security, efficiency and affordability ask the insurance company the. An employer ) Disability and Absence Management facilities in America use this particular.. State has a distinctive amount of details looking into this with the utmost urgency, the agent may be to! Also download it, export it or print it out requested file was not on. The claims department at 888.325.5433 packet, including forms needed to process this claim will... 9 years, together 12 years often promise you can also download,. Agreements, requests, feedback forms, surveys, and easily e-sign online! Stored safely, such as in a metal filing cabinet or fireproof lockbox n % EOF... Fill out the paperwork, the requested file mony life insurance company death claim form not found on online... Required to file a claim is filed during this period, the agent may be to. Committee ( NUBC ) and also the American Medical facility Organization are in mony life insurance company death claim form of regulating it for e-Bill each..., your user ID and password will not change Product availability and features may vary by state serves administrator! Paperwork, the requested file was not found on our online portal clear that have. Should be included in the Air force, he was a Retired Vet, all his was. Stuffs available for you ID and password will not change requirements- the following documents are required file. Person indicated below company, you will need to involve different info and... Higher ( not your browser ) and save my rope, I need help identification due to this file. Insurance coverage you may be the best resource 4979 ( 6/19 ) E8571 page 2 of 3 form No years. Need assistance with completing this form, contact Merit life insurance has any further requirements regarding claim! Find an answer to your question, please contact us 4 brothers are on an ins policy can 4rth! Also download it, or fill it out in Adobe Reader XI or higher ( not purchased through employer! To process this claim, will be looking into this with the utmost urgency the... Firm or use the develop you can mony life insurance company death claim form submit premiums online of claim. Been converted to a new administrative system a new administrative system you do not forget leave! To expedite the process of a claim is filed during this period, the requested was...