Claim Forms

Disability/PFL

Medical/Dental/Vision

Please call the support number on your card first. If you are still having issues, we can help you resolve the problem. However, we may need a HIPAA authorization form. Please contact us so that we can start assisting.

Health Insurance

We can help you resolve your problem, but we may need a HIPAA authorization form. Please contact us so that we can start assisting.

HSA/HRA/FSA

Colonial/Aflac