Insurance Claims

Claim Forms

Print the plan's pdf claim form and submit it to the appropriate department.

Travel Insurance Select®
- To file a claim, please call the claims department. Find out more.
Study USA-HealthCare™
- Claim Form for policies purchased or renewed prior to June 30, 2009 (Size: 116 kb)
- Claim Form for policies purchased or renewed on or after June 30, 2009 (Size: 46 kb)
Voyager Annual Plan
- Accident and Sickness Claim Form (Size: 42kb)
- Trip Delay Claim Form (Size: 31 kb)
- Baggage Claim Form (Size: 25 kb)
InterMedical™ Insurance (Size: 115 kb)
Study USA-HealthCare™ (Size: 116 kb)
Visit USA-HealthCare™ (Size: 116 kb)
WorldMed™ Insurance (Size: 134 kb)

Please Note: Adobe Acrobat Reader is required to view or print each form. If youdo not have this FREE browser plug-in, click the Adobe Acrobat Reader icon at left.

Other Plans

If you are enrolled in another plan, please refer to your Confirmation/Certificate of Insurance or your Summary of Coverages.

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