Claim Accident & Health Benefits

To file a claim, you will need to complete certain forms that are available online under Printable Forms at the Service Center. Standard forms include:

• Individual Health and Disability Claim Statement
• Authorization to obtain medical information for Individual Health & Disability 

​Major medical, hospitalization and/or doctor billing statements may be required. For disability income claims, also include a Wage Loss Verification form.

You can contact the Claims Department:

• By email
• By calling 1-800-927-2547. For English, press 1 and for Spanish, press 2. Our hours are: Monday through Thursday 8:00 a.m. to 4:30 p.m.; Friday 8:00 a.m. to 1:30 p.m. CST. When calling after hours, you can leave a voice message at the Claims Call Center (ext. 6304). To better serve you, please speak slowly, spell out your name, and include your policy number (if available).