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The Prudential Insurance Company of America fax number

(844) 625-7807

Beneficiary Services / Group Insurance Claims

Used for: Filing group life, AD&D, and accident/injury insurance claims (group policies) via the Group Insurance Claims process.

Fax destination details

Department
Beneficiary Services / Group Insurance Claims
Purpose
Filing group life, AD&D, and accident/injury insurance claims (group policies) via the Group Insurance Claims process.
Form
Group Accidental Injury Claim Form (GL.2001.165) — Group Accidental Injury Claim Form
Address
The Prudential Insurance Company of America, Beneficiary Services, P.O. Box 70182, Philadelphia, PA 19176
Voice phone
1-800-524-0542

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 claimant and employer sections; attach required documents; send to Beneficiary Services at the address below or via the provided fax; the form is used for group life/AD&D/accidental injury claims.

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

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