Report the passing of a customer

Getting started

If you are letting us know about the death of a loved one, please accept our sincere condolences for your loss.

The purpose of this form is to notify us about the death of a person insured by a Symetra life insurance policy or an owner/annuitant of a Symetra annuity contract^*.

Please note: If the deceased person had Symetra life insurance through their employer, please visit www.symetra.com/mygo or contact Symetra Benefits Claims at 1-877-377-6773, weekdays, 8 a.m. to 8 p.m., Eastern Time.

It will be helpful if you gather the following information before you get started:

Information about the deceased person’s passing, including their date of birth, date of death and Social Security Number (SSN) or Taxpayer Identification Number (TIN)
Information about the death, including cause of death
Beneficiary contact information, if available

Now, let’s get started…

About decedent

First name (required)

Last name (required)

SSN/TIN

Date of birth (required)

Policy/contract number

Cause of death

Obituary link

Date of death (required)

About you

Your relationship to the decedent* (required)

First name (required)

Last name (required)

Company name (if applicable)

Phone number (required)

Email (to communicate about the claim) (required)

Assignment (For Funeral Home Representatives Only) Yes No

Delivery method for claim paperwork (required)

Beneficiary information

While Symetra will carefully review our records to validate beneficiaries of the life insurance policy(s) and/or annuity contract(s), it is helpful if you are able to provide contact information for who you understand the beneficiaries to be. Please include as much information as possible for each policy/contract, including name, mailing address, email and phone number.

Will you be distributing claim paperwork to all beneficiaries? (required) Yes No Not Sure Not Applicable

Additional information (e.g., decedent is a minor, beneficiary is out of the country, etc.)

Review and submit

If you are a California resident, please read our Notice at Collection before you provide your information in order to understand what personal information we may collect from you, the purposes for collecting the information, and to whom we may disclose such information and for what reasons.

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