Life Insurance Payment Option
for Regal Caskets Customers

As a convenience to you, Regal Caskets has partnered with Beneficiary Advance to expedite your life insurance proceeds usually within a couple days of the loss of your loved one rather than waiting weeks or months for the insurance company to pay the claim to you. The goods and services you wish to purchase from Regal Caskets may be paid directly from your insurance policy by Beneficiary Advance and any additional funds you may wish to receive.

Beneficiary Advance’s processing fee of 4.98% is deducted from the insurance proceeds so there is never any out of pocket expense to you. Fill out the form below to have one of our representatives contact you. Or feel free to call us at (833) 515-1375 if you would like to speak to a claims representative now.

Your Contact Information

*
Please enter a first name.
Please enter a last name.

Phone: *
Please enter a valid phone #.

Email: *
Please enter a valid e-mail.
Has death of the insured occured?
Are you the named beneficiary of the policy?

Beneficiary’s Information

*
Please enter a first name.
Please enter a last name.
Address:
City:
State: Zip:
DOB: Relation:

Insured’s Information

Insured’s full legal name:
* *
*DOB: *DOD:

*SSN: *Cause of Death:

Insurance Information

Insurance Company policy is with:
*
Please enter an Insurance Company Name.

Policy Number(s):
Is this a Group Policy through an employer?

Beneficiary Advance Request


Amount:

If you would like a cash advance, enter the amount below.
To cash out remainder of policy, enter the total face amount in amount of policy to assign.

Beneficiary Cash Amount:

* requests are limited to $100,000
*
Amount of policy to assign:

Fee:
$0.00

*Type the characters above: