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Dearborn National fax number

(877) 404-6457

LTD/STD Claims (Disability Claims)

Used for: Disability claim submission (Group Short-Term Disability / Long-Term Disability) via fax to Dearborn National.

Fax destination details

Department
LTD/STD Claims (Disability Claims)
Purpose
Disability claim submission (Group Short-Term Disability / Long-Term Disability) via fax to Dearborn National.
Form
Group Short-Term Disability Claim Form — Group Short-Term Disability Claim Form
Address
P.O. Box 7071, Downers Grove, IL 60515
Voice phone
(877) 442-4207

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the employee information, employer information, and physician's statement; attach required documentation; submit to Dearborn National Claims Department by fax to 1-877-404-6457.

Official form instructions are published as a downloadable file on the organization's website.

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