Examples of Additional claim in a sentence
Additional claim forms should be submitted on a Covered Person whenever that person experiences a change in student status, is enrolled or terminated from another health benefit plan, or incurs expenses related to an Accident or Injury in order to provide details of the Accidental Injury.
Additional claim forms can be obtained on CareMed’s website www.caremed-assistance.com or by contacting the claim center.
Additional claim submission requirements apply to members who have Wisconsin Medicaid coverage.
Additional claim forms are available on our website.• You may mail your claim to: American Heritage Life Insurance CompanyP.O. Box 43067Jacksonville, Florida 32203-3067• If you are filing a claim within the first 24 months your policy is in force, additional information may be required.POLICYHOLDER / CERTIFICATEHOLDEREmployer Name (Company): Occupation: 1.
Additional claim forms may be obtained by visiting the Employee Benefits website at www.state.co.us/benefits and clicking on “dental,” then select “claim form” at the bottom of the drop-down menu.