To make an Extended Health Care Dental claim and/or Disability
Claim, you may print, complete and submit the appropriate form to
Equitable Life. If your plan requires your Group Plan Administrator
to provide an authorizing signature, be sure to obtain the
signature before submitting your claim.
Benefits are adjudicated based on the details provided on your
claims forms. Incorrect or incomplete information may result in
denial or improper payment of your claims.