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, begin by entering the information below. This form will only take 5-7 minutes to complete.

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 and Social Security numbers
  • Name of insured
  • Date of birth
  • Date of death
  • Funeral home name & phone

What to expect:

  • The online claim form will take 5-7 minutes to complete.
  • You will be guided through each of the claim sections; the more information you're able to include the faster we can process the claim.
  • Your submission will be reviewed by a claims representative. If needed, the representative will send you additional forms to complete the process. Any additional forms you receive will already include the information you provide here and must be completed and returned in order to finalize the claim. If no additional forms are needed, this online form will be your final claim submission.
  • Note that Prudential will not receive any of the information provided until you have clicked submit and received confirmation of receipt unless noted otherwise.

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.