Do I need to complete this form and provide proof of coverage? How do I fill this out?Register now to manage your insurance online. View policies, track claims, access annuity funds, and more, day or night with our Client Portal or AN Mobile App. If you want to enroll more than one student, fill out a copy of the application or obtain more applications from your school or School Insurance of Florida. List of all available electronic forms needed during the admissions and registration process. Office of Insurance Regulation 200 East Gaines Street Tallahassee, Florida 32399 (850) 413-3140 To participate in a Rehabilitation Plan you must apply on our forms or in a letter to us. How do I report a new claim? Checklist for all items to include with the completed claim form for Credit Life Benefits: _____ certified or notarized copy of death certificate.