Below are claim forms needed to file a
claim. Please fax all completed claim forms directly to us
at 1-800-354-5030. If submitting a hospital confinement
claim, make sure to call your hospital's billing department and
request an "itemized detailed hospital bill".
Allstate/American
Heritage Life
|
Cancer/Specified Disease/ICU/Heart/Stroke Claims |
Download |
|
| Critical
Illness Claim |
Download |
|
| Hospital
Indemnity Claim |
Download |
|
| Wellness
Claims |
Download |
|
|
Accident/Disability/Waiver of Premium Claims |
Download |
|
Assurant/John Alden Life
AFLAC
Click Here
Conseco
Call us at 1-800-427-9141 x 703
Kanawha/KMG America
Call us at 1-800-427-9141 x 703
|
