Claims process
Step 1
Members you can quickly process your claim by downloading and completing your verification forms below:
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Fully completed claim form signed by the insured
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Medical Certification WH-380-F, or company equivalent
Step 2
Once you've completed your verification forms upload them here:
Fill out my online form.
Once you submit your claims information, all claims will be processed by Nationwide’s Third-Party Administrator, Disability Insurance Specialists, LLC.You can also mail or fax your information by calling or sending it to: