Claim Guidelines

The Claims Manual is provided to you as a guide and includes information on the requirements and procedures for submitting various claims including Specific or Aggregate Excess Loss Claims for reimbursement.

1. Please download and complete the desired pdf claim form(s):

50% and Specific Claim

Aggregate Reimbursement

Monthly Aggregate

Claim Eligibility Questionnaire

Financial ACH’s

2. Email the completed claim form(s) to the address below: