Tokio Marine HCC - Medical Insurance Services Group Download Claim Forms Email Fax Mail Insurance Company Phone

Atlas International

Atlas Essential

Atlas Essential International

Atlas Premium

Atlas Premium International

VisitorSecure

StudentSecure Select - Including USA

StudentSecure Select - Excluding USA

StudentSecure Budget - Including USA

StudentSecure Budget - Excluding USA

StudentSecure Smart - Including USA

StudentSecure Smart - Excluding USA

Seven Corners Download Claim Forms Email Fax Mail Insurance Company Phone

Inbound USA Choice

Inbound USA Elite

Liaison Travel Choice - Excluding USA

Liaison Travel Choice - Including USA

Liaison Travel Economy - Excluding USA

Liaison Travel Economy - Including USA

Liaison Travel Elite - Excluding USA

Liaison Travel Elite - Including USA

MCIS Flexible Travel Insurance - Including USA

MCIS Flexible Travel Insurance - Excluding USA

Liaison Student Claim Form

International Medical Group (IMG) Download Claim Forms Email Fax Mail Insurance Company Phone

Visitors Care Claim Form Accident Questionnaire Must submit proof of loss customercare@imglobal.com 317-655-4505 International Medical Group Attention: Claims Department P.O Box 88500 Indianapolis, IN 46208-0500 800-628-4664 or 317-655-4500

Patriot America

Patriot America Plus

Patriot Platinum America

Patriot GoTravel America

Patriot International

Patriot Platinum International

Patriot GoTravel International

Patriot Green America

Patriot Green International

Patriot Exchange Program

Student Health Advantage - Including USA

Student Health Advantage - Excluding USA

USI Affinity Travel Insurance Services Download Claim Forms Email Fax Mail Phone Company Phone

Visit USA HealthCare - Standard

Visit USA HealthCare - Superior

Study USA Healthcare Preferred

Trawick International Download Claim Forms Email Fax Mail Insurance Company Phone

Safe Travels for Visitors to the USA Appeal Form Claim Form Authorization Form to Disclose Protected Health Information Must submit proof of loss with in 90 days from date of service.

GBGclaims@cbpinsure.com NA GBG Administrative Services Inc. Co-ordinated Benefit Plans, LLC on Behalf of Global Benefits Group, PO Box 2069 Fairhope AL 36533 Toll-Free: 866-669-9004

Safe Travels International

Safe Travels International Cost Saver

Safe Travels USA

Safe Travels USA Comprehensive

Safe Travels USA Cost Saver

Global Underwriters Download Claim Forms Email Fax Mail Insurance Company Phone

Diplomat Long Term

Diplomat International

Azimuth Risk Solutions Download Claim Forms Email Fax Mail Insurance Company Phone

Beacon International

INF Healthcare Download Claim Forms Email Fax Mail Insurance Company Phone

INF Advantage Axis Insurance Company Claim Form CHUBB Claim Form HIPPA Authorization Form Online Claim Form CHUBB Claim Form

Administrative Concepts, Inc. (ACI)



Axis Insurance Company Claim Form

WebTPA Claims CHUBB Claim Form

610-293-9299



Axis Insurance Company Claim Form

469-417-1989 CHUBB Claim Form

994 Old Eagle School Rd., Suite 1005, Wayne, PA 19087-1706



Axis Insurance Company Claim Form

PO Box 99906, Grapevine, TX 76099-9706 CHUBB Claim Form

888-293-9229



Axis Insurance Company Claim Form

928-494-0112

INF Choice

INF Elite Network

INF Premier

INF Select Care

INF Short Term Elite

INF Short Term Premier

INF Standard