State Applications
Please visit the Getting Started page and select your state application using Step 1.
If you prefer to print and mail an application, click here.
Online Claim Submission
If you prefer to print and mail a claim, please choose your carrier below. Note: Turnaround time for claims submitted electronically is significantly faster.
Pan-American Life printable claim form
Unified Life printable claim form
Update Eligibility
Log into your BeniComp Portal and select "My Profile" from the drop-down menu in the top right corner (it will appear when you hover over your name). Here you can update your contact information, add or term dependents, and make other eligibility changes.
Update Group Information
First, log into your BeniComp Portal.
To update contact information and benefit levels, select "My Profile" from the drop-down menu in the top right corner (it will appear when you hover over your name).
To update your banking information, select "My Banking" from the same drop-down menu.
To add/edit/delete participants or dependents, select "User Manager" on the left-hand column of your screen.
Privacy Rule Authorization
This form is the participant's signed permission to allow a covered entity to discuss or disclose the participant's protected health information (PHI).
Agent Information
Unified Life - Producer Application
Pan-American Life - Producer Application
Pan-American Life Insurance Group - "How We Do Business" brochure
Direct Deposit: Electronic Funds Transfer (EFT)
Log into your BeniComp Portal to enroll in direct deposit or to update your banking information. Navigate to "My Profile" from your menu and select "Direct Deposit".
