• 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.

    Fax:  607-756-5051

    Fax:  607-756-5051

    Fax:  607-756-5967

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

    Contact Us

    • Cortland, New York Office
      Address:  67 Main St
      PO Box 5670
      Cortland, NY 13045
      Phone:  800.822.3747
      Fax:607.756.5051 (Underwriting)
      Fax:607.756.5967 (Claims Services)
      Denver, Colorado Office
      Address:  1331 17th Street
      Suite 810
      Denver, CO 80202
      Phone:  800.822.3747
      Fax:607.756.5051 (Underwriting)
      Orland Park, Illinois Office
      Address:  13841 Southwest Hwy
      Orland Park, IL 60462
      Phone:  800.346.1031
  • Find A Form


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    Program Applications

    Type/StateForm NamePostedDownload
    FloridaAccident & Health Application Form - FL benefitsOct 17, 2022
    GeneralFor LOSAP please contact Mark Nash (x181) benefitsSep 27, 2019
    GeneralGroup Term Life Insurance Request for Proposal benefitsAug 26, 2022
    IllinoisAccident & Health Application Form - IL benefitsOct 17, 2022
    KansasAccident & Health Application Form - KS benefitsOct 17, 2022
    MarylandAccident & Health Application Form - MD benefitsOct 17, 2022
    MissouriAccident & Health Application Form - MO benefitsOct 17, 2022
    MontanaAccident & Health Application Form - MT benefitsOct 17, 2022
    Multi-State24 Hour AD&D Application Form benefitsAug 26, 2022
    Multi-StateAccident & Health Application Form benefitsOct 17, 0022
    Multi-StateAccident & Health Renewal Form benefitsOct 17, 2022
    New YorkAccident & Health Application Form - NY benefitsOct 17, 2022
    New YorkESIP Cancer Census benefits esipMar 29, 2022
    UtahAccident & Health Application Form - UT benefitsOct 17, 2022

    Endorsement Forms

    Form NamePostedDownload
    Endorsement Request FormAug 26, 2022

    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 & Health Claimant Form (3-50)Sep 12, 2022
    Arch Insurance Accident & Sickness Beneficiary FormMay 30, 2014
    Blanket Accident Medical Expense Claim Form (19-12-AH3)Sep 12, 2022
    Blanket Accidental Death Claim Form (19-12-AH2)Sep 12, 2022
    Blanket Accidental Dismemberment Claim Form (19-12-AH1)Sep 12, 2022
    Health Care Providers Form (3-75)Sep 12, 2022
    Accident & Health Cancer Claimant Form - NYSep 12, 2022
    Health Care Providers Form (New York 3-75)Sep 12, 2022
    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.
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  • 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?



    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



    67 Main St
    Cortland, NY13045