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FILING A CLAIM BY MAIL. Download the claim form. Print all pages of the claim form. Complete all sections of the Claimant Statement. If you are claiming disability, have your employer complete and sign the Employer’s Statement found in SECTION C on the third page. Have your physician complete SECTION D, the Attending Physician’s Statement ...
At Combined Insurance, our mission is to make insurance easy — whether you are selecting a policy, managing your premiums or filing a claim. The forms and documents below will help you get done what you need to do — quickly and easily.
Use your Self-Service Portal credentials to log in. Forgot User ID? First time here? Combined Insurance Company of America is a Chubb company and a leading provider of supplemental accident, health, disability, and life insurance products in the U.S.* and Canada.
COMBINED INSURANCE COMPANY OF AMERICA INSTRUCTIONS FOR FILING ACCIDENT AND HEALTH CLAIMS. If you are filing for disability and / or hospital confinement, a claim form is required. Help to avoid delays. Please answer all applicable questions on the claim form.
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Claims Made Easy. HOW TO FILE YOUR CLAIM. Please Follow the Simple Steps Below. 1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims. Complete sections based on the claim type. For Accident Claims. 1. Complete Sections A, A-1 and A-3.
FILING A CLAIM BY MAIL. Download the claim form. Print all pages of the claim form. Complete all sections of the Claimant Statement. If you are claiming disability, have your employer complete and sign the Employer’s Statement found in SECTION C on the third page. Have your physician complete SECTION D, the Attending Physician’s Statement ...
Filing a claim? You can begin online or over the phone: Online: www.combinedinsurance.com/FSPClaims, register at the self-service portal and fill out a claim form directly on your screen or download a claim form and fill it out by hand. Phone: (800) 488-0603 to file your claim over the phone.
Consent to Electronic Payment. If you submit a payable claim, Combined may offer you the option to receive your benefit payment electronically via bank transfer into a checking account, transfer into a PayPal account, or transfer to a debit card (as available).
Follow the Claimant Instructions below to complete the form. Upon completion of the first page you can: • Mail OR fax the document to the company along with any supporting documentation