Disability Income Insurance

(all PDF format )
Employee Enrollment Forms	Evidence of Insurability Forms

If a claim needs to be filed on behalf of your employee, select the applicable form below (in PDF format Adobe PDF ).

Group Disability Claim Application (LB-1065)
Reinsurer: Custom Disability Solutions

Group Disability Claim Application (LB-1065/DRMS)
Reinsurer: Disability RMS

Contact Group Department

Symetra Life Insurance Company
Group Division
777 108th Ave NE, Suite 1200
Bellevue, WA 98004-5135

Phone: (800) 426-7784
Hours: Monday – Friday, 7:00 a.m. – 4:30 p.m. PT

Not sure which claim form to use?
Enter policy number below and click submit.
Policy Number