Accident & Health
Claims

Chubb’s Accident &  Health Department offers a comprehensive portfolio of insurance solutions for both individuals and groups. Products within that portfolio include:

• Blanket and Voluntary Accidental Death and Dismemberment benefits through employers, associations, and other sponsored group plans.
• Accidental Death and Dismemberment, Collision Damage Waiver, Loss Damage Waiver, Trip Protection and Baggage Protection benefits through Credit Card and other Financial Institution plans.

If you believe you have coverage under one of the types of plans listed above and wish to file a claim, please choose one of the options below and follow the applicable instructions. If you are unsure or have any questions, please call 1-800-Claims-0 or 1-800-252-4670 for assistance.

By choosing one of the options below, you can expedite the submission and handling of your claim.

Option 1: Obtain claim forms and instructions and submit a claim by mail.

Step 1 - Download and print the applicable form:

• Accidental Injury Claim Form
• Attending Physician Statement
• Accidental Medical Expense Claim Form
• Accidental Death Claim Form
• Dependent Accidental Injury Employer's Statement
• Dependent Accidental Death Employer's Statement
• Employee Accidental Death Employer’s Statement
• Employee Accidental Injury Employer’s Statement
• Baggage Protection/Delay Claim Form Excess
• Baggage Protection/Delay Claim Form Primary
• Loss Damage/Collision Damage Waiver Claim Form
• Trip Cancellation/Interruption/Delay Claim Form
• Personal Property Protection Claim Form
• Hospital Cash Physicians Statement
• Accident Hospital Cash

• Click here for forms in Spanish

Step 2 - Follow the instructions and mail to:

Chubb Group of Insurance Companies Claims Service Center
600 Independence Parkway
P.O. Box 4700
Chesapeake, VA 23327-4700
Phone: (800) 252-4670
Fax: (800) 300-2538

OR

Option 2: Call our Claim Service Center at 1-800-Claims-0 (1 800 252-4670)