Examples of Additional claim in a sentence
Additional claim submission requirements apply to members who have Wisconsin Medicaid coverage.
Additional claim forms are available on our website.• You may mail your claim to: American Heritage Life Insurance CompanyP.O. Box 43067Jacksonville, Florida 32203-3067• If you are filing a claim within the first 24 months your policy is in force, additional information may be required.POLICYHOLDER / CERTIFICATEHOLDEREmployer Name (Company): Occupation: 1.
Additional claim forms can be obtained by calling the Member Services Department at 000-000-0000.
Additional claim forms can be obtained from the OCIP Administrator upon request.
The length of time in the mail will depend on your location.• Additional claim forms are available on our website at www.allstateatwork.com/walmart.