Forms & Claims


Need a Service Form?

Please visit our Service Forms site to access forms relating to your Policy/Contract.


Have a claim? We’re here to help.

Losing a loved one is difficult, which is why we want to make it easy for you to file your life insurance or annuity claim.

Annuity Claims

To report a death on a MONY or MLOA Contract, call our Claims Service Center at 1-800-659-1058. The Claims Service Center is open Monday through Friday, 8 a.m. to 5 p.m. EST.

Life Insurance Claims

To report a death on a MONY or MLOA Life Insurance Policy, download the claim form through the link below or call our Claims Service Center at 1-800-659-1058. The Claims Service Center is open Monday through Friday, 8 a.m. to 5 p.m. EST.

Download Life Insurance Claim Forms

Important Notice: Your life insurance claim may qualify for Express Processing with no additional forms. Please call our Claims Service Center at 1-800-659-1058, Monday through Friday, 8 a.m. to 5 p.m. EST for further information.


Use of the MONY marks is under license from AXA Financial Inc. and it’s affiliates. MONY Life Insurance Company ("MONY") is a wholly owned subsidiary of Protective Life Insurance Company. Protective Life Insurance Company serves as administrator for MONY Life Insurance Company of America ("MLOA").