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 |
|
|
Hospital Indemnity Claim |
Download |
|
|
Wellness Claims |
Download |
|
|
Accident/Disability/Waiver of Premium Claims |
Download |
|
|
Allstate Customer Service
Number: 1-800-521-3535
Assurant/John Alden Life
AFLAC
Click Here
AFLAC Customer Service Phone Number: 1-800-992-3522
Conseco
Hospital Secure Claim Form
Conseco Customer Service Phone Number: 1-800-541-2254
|
