Notice of Death Claim

To report the death of a person who is insured by a Horace Mann life insurance policy or annuity, please provide us with the following information.

To report the death of a person who is insured by a Horace Mann life insurance policy or annuity, please provide us with the following information.

Information of the deceased

Cause of death?
Policy number(s), if known (enter all that apply):

Death reported by


Funeral home information




WBCL-0009

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