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Report Your Claim

We are here to resolve your claim as quickly and seamlessly as possible. We offer several options for filing your claim so you can choose which works best for you.

Visit our online claims portal at to file your claim, upload documents and check claim status. First time users please call our claims service line at 1-833-542-2013 (New York Residents: 1-833-896-2968) to gain access to the portal

Our helpful customer service specialists can help you file your claim and answer any claims related questions you may have.

New York Residents: 1-833-896-2968
Residents of all other U.S states: 1-833-542-2013

Download appropriate forms below and fax or email completed forms with signature to 1-312-351-7120 or to  

Download appropriate forms below and mail completed forms with signature to:

Chubb Workplace Benefits Claim Department
P.O. Box 6803
Scranton, PA 18505-6803

Accident and Health Claim Forms
All U.S.: Download Claim Form
Todo Estados Unidos: Descarga Afirma Forma

Wellness Claim Forms
All U.S.: Download Claim Form
Todo Estados Unidos: Descarga Afirma Forma

Still have a question?

If you have additional questions, please call 1-866-619-2557 (residents of New York state) or 1-866-445-8874 (residents of all other U.S. states).