Minimize risk, maximize savings.
Please complete the following form(s) as needed per the Claim Guidelines Manual. Upon completion, please send by email to the attention of our Claims Team. Someone will be in touch with you as soon as possible.
Claim Guidelines
CONTACT US
Our claims team is here to help.
Contact our dedicated claims telephone number at:
210-695-2381
Email us at:
claims@nus1.com

1. Please download and complete the desired pdf claim form(s):
50% and Specific Claim
- 50% and Specific Claim Form
- 50% and Specific Claim CA Form – California Only
Aggregate Reimbursement
- Aggregate Reimbursement Form
- Aggregate Reimbursement CA Form – California Only
Monthly Aggregate
- Monthly Aggregate Form
- Monthly Aggregate CA Form – California Only
Claim Eligibility Questionnaire
- Claim Eligibility Questionnaire
- Claim Eligibility CA Questionnaire – California Only
Financial ACH’s
- ACH Claim Reimbursement Form
- ACH Claim Reimbursement CA Form – California Only