• Forms

    McNeil & Company 9:22 pm
     

    In an effort to provide you with easy access to the resources you need, we’ve made claim, application and other forms available for download. Completed forms can be sent via fax or email below.

    Applications
    Fax:  607-756-5051
    applications@mcneilandcompany.com

    Endorsements
    Fax:  607-756-5051
    endorsement_request@mcneilandcompany.com

    Claims
    Fax:  607-756-5967
    loss_notice@mcneilandcompany.com

    * Please note a 10MB attachment size limit when sending emails.

    Contact Us

     
    • Contact Us

      Cortland, New York Office
      Address:  20 Church St
      PO Box 5670
      Cortland, NY 13045
      Phone:  800.822.3747
      Fax:607.756.5051 (Underwriting)
      Fax:607.756.5967 (Claims Services)
      info@mcneilandcompany.com
      Denver, Colorado Office
      Address:  1331 17th Street
      Suite 810
      Denver, CO 80202
      Phone:  800.822.3747
      Fax:607.756.5051 (Underwriting)
      info@mcneilandcompany.com
      Petaluma, California Office
      Address:  1310 Redwood Way
      Suite 210
      Petaluma, CA 94954
      Phone:  888.814.4447
      Fax:760.423.1050
      info@mcneilandcompany.com
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    Program Applications

     
    Type/StateForm NamePostedDownload
    FloridaAccident & Sickness Application Form benefitsMar 1, 2017
    GeneralAccident & Sickness Policy Request Form benefits
    GeneralGroup Term Life Insurance Request for Proposal benefitsMar 2, 2017
    GeneralLOSAP Defined Benefit benefitsDec 12, 2014
    GeneralLOSAP Defined Benefit Entitlements Checklist - Lump Sum benefitsDec 12, 2014
    GeneralLOSAP Defined Benefit Entitlements Checklist - No Lump Sum benefitsDec 12, 2014
    GeneralLOSAP Defined Contribution benefitsDec 12, 2014
    GeneralLOSAP Defined Contribution Entitlement Checklist benefitsDec 12, 2014
    IllinoisAccident & Sickness Application Form benefitsMar 1, 2017
    KansasAccident & Sickness Application Form benefitsMar 1, 2017
    MarylandAccident & Sickness Application Form benefitsMar 1, 2017
    MissouriAccident & Sickness Application Form benefitsMar 1, 2017
    MontanaAccident & Sickness Application Form benefitsMar 1, 2017
    Multi-State24 Hour AD&D Application Form benefitsMar 1, 2017
    Multi-StateAccident & Sickness Application Form benefitsMar 1, 2017
    Multi-StateAccident & Sickness Renewal Form benefitsMar 1, 2017
    New YorkAccident & Sickness Application Form benefitsMar 1, 2017
    UtahAccident & Sickness Application Form benefitsMar 1, 2017

    Endorsement Forms

     
    Form NamePostedDownload
    Endorsement Request FormMar 2, 2017

    Claims Forms

     
    Form NamePostedDownload
    First Reliance Standard - Group Life Proof of Loss
    Standard Security VFD - Group Life
    The Standard Life Insurance Company - Group Life Proof of Loss
    Accident & Sickness Claimant Form (3-50)
    Arch Insurance Accident & Sickness Beneficiary FormMay 30, 2014
    Health Care Providers Form (3-75)
    Accident & Sickness Claimant Form (New York 3-50)
    Health Care Providers Form (New York 3-75)
    The Standard Life Insurance Company - Group Life Proof of Loss (New York)
  • E-Learning

     

    E-Learning Copy

    Our E-Learning platform is available 24/7 to meet the needs of the student. These online courses are offered free of charge to our insureds. Additional classes are being developed on a regular basis, so check back often to see new opportunities.
    Login Demo Register
  • Our Programs

     

    Our Programs

    We offer some of the most comprehensive insurance coverages in the industry. Let us propose a customized insurance package for your organization.
  • Questions?

     

    Questions

    Have questions about your policy, want more info on our programs or need to be put in touch with a local agent? Contact us today and we'll be glad to assist you!
  • Contact Us

     

    Contact Us

    800.822.3747

    info@mcneilandcompany.com

    20 Church St
    Cortland, NY13045