Quality Insurance

Everyone should be able to access at work quality insurance from a company they trust. That’s our stand. Learn More about our commitment to quality.


Did You Know
We now offer customers the option to file a claim, check claim status, request account changes and see coverage information online at MyBenefits.


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Policyholder Forms
The documents listed below are PDF documents that require the Adobe
Acrobat Reader® to be installed on your system. Click here to download
a free version.


Policyholder Forms  
HIPAA Authorization/Disclosure - Policyholder Information Download
National Guardian/Keystone State Life Policy Owners Service Request Download
Child Term Rider Conversion Form Download
Request for Bank Draft (EFT) Download
Name and Ownership Changes, Correspondence Requests and Beneficiary Change Request Download
Life Policy Change & Service Request Download
Premium and Billing Change Request Download
Policy Change & Service Request Download
EyeMed Vision Frequently Asked Questions Download
Group Critical Illness Frequently Asked Questions Download
Group Indemnity Medical (GIM) Frequently Asked Questions Download
Group Short Term Disability (STD) Frequently Asked Questions Download
Group Long Term Disability (LTD) Frequently Asked Questions Download
Heritage Choice Dental Frequently Asked Questions Download
Group Term Life Frequently Asked Questions Download
Major Medical Complement (GAP) Frequently Asked Questions Download
Additional Addressee Designation / Change Form Download
Mail policyholder forms to the following location:
Customer Care Center
Allstate Benefits
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687
   
Fax policyholder forms to the following phone number: 1-866-428-2517