Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with The Prudential Insurance Company of America before sending sensitive documents. FaxFlow is not affiliated with this organization.
The Prudential Insurance Company of America fax number
(877) 605-6671
Group Medical Underwriting
Used for: Submission of Evidence of Insurability (EOI) forms for group medical coverage; fax completed forms to 877-605-6671 or mail to the Group Medical Underwriting department.
Fax destination details
- Department
- Group Medical Underwriting
- Purpose
- Submission of Evidence of Insurability (EOI) forms for group medical coverage; fax completed forms to 877-605-6671 or mail to the Group Medical Underwriting department.
- Form
- Short Form Health Statement — Short Form Health Statement (Evidence of Insurability)
- Address
- The Prudential Insurance Company of America, Group Medical Underwriting, P.O. Box 8796, Philadelphia, PA 19176
- Voice phone
- 888-695-6947; 855-253-9101; 888-257-0412
- Website
- Visit organization website
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.
Fill out the form in blue or black ink, sign and date it, and include any required medical information. Mail to The Prudential Insurance Company of America, Group Medical Underwriting, P.O. Box 8796, Philadelphia, PA 19176, or fax the completed form to 877-605-6671.
Official form instructions are published as a downloadable file on the organization's website.
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