R. J. BLANCHARD BENEFIT SERVICES, LLC
R. J. BLANCHARD BENEFIT SERVICES, LLC
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Need to file a claim?

Filing a claim

RJ BLANCHARD BENEFIT SERVICES, LLC makes it easy to file a claim with your carrier.  Our team will be with you from start to finish.  


To get started, click the claim icon to get started.  

This is for the following claims:

Homeowners, auto, commercial lines

FILE YOUR CLAIM

American Public Life Claim Forms

These forms are used to file your worksite benefit claims through APL. Simply downlload the form and complete.  

NEW WELLNESS FORM (pdf)Download
HIPAA 3rd Party- (pdf)Download
Direct Deposit Auth-0320 (pdf)Download
APL accident-secured (pdf)Download
clform-disability-1222-secured (pdf)Download
clform-0722-critical-illness-policy-secured (pdf)Download
clform-0822-loss-of-life-secured (pdf)Download
HOSPITAL CONFINEMENT FORM (pdf)Download

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