File a Claim

Losing a loved one is difficult, and we're here to make the death claim process as easy as possible for you. To start a claim online, click here.

Make sure the online form is right for you. This form is NOT available if:

  • The deceased lived or died outside of the United States
  • A beneficiary currently lives outside of the United States
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What you'll need:

  • Policy holder's name
  • Policy account number
  • Social security number
  • Date of birth
  • Date of death

What to expect:

  • The online claim form will take 5-7 minutes to complete
  • The required elements to process the claim are in the 'What you'll need' section. The more information you can provide the faster we can process the claim.
  • Once you click submit, you will receive a confirmation of receipt and your submission will be reviewed by a claims representative. Prudential will not receive any of the information provided until you have clicked submit.
  • If needed, a claim representative will send you additional forms. Any additional forms must be completed and returned to finalize the claim. If no additional forms are needed, this online form will be your final claim submission.

About You

If you are completing this form on behalf of someone else, enter your information here.

All fields required unless noted.
Error: Please enter a valid first name.
Error: Please enter a valid middle name.
Error: Please enter a valid last name.
Error: Please select a suffix.

By entering one policy number above, all of the insured's active policies will be captured in this submission. We will check each policy to determine claim value. Completion of this form does not guarantee coverage.
If you do not have a policy number please call 855-277-8061 Monday-Friday between 8 am and 8 pm EST.