Once you notify us of the death, we can help with the death claim process. First, we will notify the insurance carrier and provide a death certificate. The insurance carrier will then notify the state Medicaid agency of its interest in the annuity and send a claim package to the state and the contingent beneficiary. Next, the state must send a reimbursement or release letter to the insurance carrier. Once received, the insurance carrier will settle the state’s claim, accept the release, and distribute the subsequent annuity balance (if any) to the contingent beneficiaries.