Voluntary Policy Information and Claim Forms

• Medical Disability
• Maternity Disability
• Accident
• Critical Illness
• Hospital Indemnity
• Medical FSA
• Dependent FSA
• Universal Life/Cancer Ins.-Transamerica
• Medical Transport Solutions-MASA

Wellness Benefit Claim Forms

• Accident/Critical Illness
• Hospital Indemnity

Submit electronically at www.RSLClaims.com

• MASA-B2BWILLPBS
• One America (disability)-623861
• Reliance Standard

  • Accident-VAI1451110

  • Critical Illness-VCI1451109

  • Hospital Indemnity-VHI1451108

  • Supplemental Life Insurance Plan Summary & Certificate of Coverage

• Transamerica-G000036662