How to File an Employee Claim
Filing a claim is easy. Submit a claim online through our member service center or download a copy below.
Critical Illness 1301 Cancer Claim Form
Critical Illness 1301 Cancer Wellness Claim Form
Critical Illness 1805 Claim Form
Critical Illness 1805 Wellness Claim Form
*Please review your certificate of coverage to determine if you have the CI-1301 or CI-1805 form number (easily found on the bottom left of the certificate)
Claimant Authorization for Claims Payment via Electronic Funds Transfer