Welcome To Voluntary Insurance Partners
Boston Mutual
Group life service for employees — employer-paid life and voluntary life claims, beneficiary changes, portability, and conversion.
Life claims, beneficiary updates, and keeping coverage after you leave.
Boston Mutual group life does not use a member ID-card app the way dental does. Claims and changes go on the forms below. A life claim also needs the HIPAA authorization.
Life & Accidental Death Claim Form
Life Claim Form (Spanish)
HIPAA Authorization (required with a claim)
Waiver of Premium
Beneficiary / Certificate Change
Portability (keep voluntary life after you leave)
Conversion (standard form)
BML Connect Policyholder Login
Call Claims: 877-212-2950
Group Service: 800-669-2668 ext 700
All Group Claim & HIPAA Forms
Employer / HR Service
Filing a life claim
- The beneficiary completes the Life & Accidental Death Claim Form and signs it.
- Also complete the HIPAA authorization. If the state is not the standard form, use the state list on Boston Mutual’s employer forms page.
- Send both using the instructions on the claim kit. Claims phone is 877-212-2950.
- Waiver of premium is a separate form, used if the employee is disabled and the plan includes that benefit.
Beneficiary or name change: Group Insurance Certificate Change Form. HR can also submit this.
Leaving the employer: portability keeps eligible voluntary life in force. Conversion is the individual-policy option. Deadlines are on the form and in the certificate.
BML Connect: only some newer cases are on that portal. If login fails, use the forms and the claims number above. Portals: BML Connect.