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Minnesota Life Insurance Company (a Securian Financial company) fax number

(877) 494-8401

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Benefit Services

Used for: Submitting life insurance claim-related documents (e.g., Health History Information Request, Beneficiary Statement) to Benefit Services.

Fax destination details

Department
Benefit Services
Purpose
Submitting life insurance claim-related documents (e.g., Health History Information Request, Beneficiary Statement) to Benefit Services.
Form
Health History Information Request (F84610) — Health History Information Request
Address
PO Box 64114, St. Paul, MN 55164-0114
Voice phone
1-800-328-9442

Before you send

  • Confirm that this exact department handles your document or request.
  • 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.

This form is used to gather health history information to support a life insurance claim; complete the deceased’s information and medical history as requested, and send to Benefit Services with any required attachments.

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

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