<% %> Proof of Claim Form Information - Senior Citizens Mutual Insurance Company
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General Proof of Claim Form Information - Senior Citizens Mutual Insurance Company ("Senior Citizens")

How do I file a proof of claim with the Receiver?

If you need to file a claim with the Receiver, you will need to complete and file a proof of claim form.  To be considered timely filed, submitted proof of claim forms must be postmarked on or before Friday, June 2, 2006.  All submitted proof of claims must be accompanied by a completed IRS W-9 form.

On December 27, 2005, the Receiver mailed proof of claim forms to all parties that the Receiver identified as having a possible claim in the Senior Citizens estate.  If you did not receive a proof of claim form and have a claim you would like considered, please make a request for a proof of claim form by completing the "Contact Us" form.

What happens if I fail to file the proof of claim form by the June 2, 2006 deadline?  Can I still file a claim?  Will it be considered late-filed?

Yes, you may still file a proof of claim after the June 2, 2006 claims filing deadline.  However, any proof of claim form postmarked after June 2, 2006 will be processed as “late-filed”.  If you believe that your proof of claim form should be considered timely-filed, you may submit a request to have the Receiver consider accepting your proof of claim form as timely-filed.  With appropriate supporting documentation, Florida Statute 631 gives you the right to petition the Receivership court (Second Judicial Circuit Court, Tallahassee, Leon County, Florida, case number 2005-1069) to accept your claim as filed timely.

Will the deadline be extended?

No.

Can you verify receipt of my proof of claim and W-9 forms?

If you sent your proof of claim form by certified mail, return receipt requested, or if it was sent via FedEx, UPS, etc., you should save the delivery certification cards as proof of mailing.  No confirmations of receipt of individual proof of claim forms will be mailed. 

When will my claim be paid and how much will I receive?

The amount of any potential payment is unknown until after the amount of all liabilities has been established and all reasonable efforts to recover and liquidate assets have been exhausted. Please be advised that it may take several years before a distribution of assets, if any, is made in this receivership, due to collection efforts and litigation. 

What if I don’t know the exact amount of my claim or don’t have all the documentation available at the time I submit my proof of claim?

In the amount claimed field on the proof of claim form, enter “$1.00” if you don’t know the exact amount of the claim.  Be sure to put your claim identification number on the documentation so that it can be identified and matched to your proof of claim.

The proof of claim form has a box for indicating whether the claim is a secured claim.  I don’t understand what this means?

"Secured claim" means any claim secured by mortgage, trust deed, pledge, deposit as security, escrow, or otherwise but does not include a special deposit claim, a claim against general assets, or a claim based on mere possession.  In other words, if a claim is secured by some form of collateral, it is considered a secured claim.

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