There’s No Such Thing as a Standard Claim

How to file a claim:

• Over the phone with help from our dedicated team
— call 855-241-9891

• Fax your claim form to 603-352-1179

• Email your claim form to

( for inquiries)

Select, download and complete the appropriate claim form below based on the nature of your claim

Please refer to the Claims FAQ document for answers to commonly asked questions

Accelerated Benefit Claim Form

Life Insurance Benefit Claim Form

Claims Frequently Asked Questions

Additional Forms

Changes to Your Contact Information or Coverage 
Request for Service

Beneficiary Changes 
LBT Beneficiary Change

Sample Certificate

The Chubb Promise

With Chubb, you’re in reliable hands. We’re one of the world’s largest insurers, and our dedicated employee benefits team has been handling claims with care and consideration for over 20 years. If you ever want to talk to us, we’re always happy to help

Chubb is the marketing name used to refer to subsidiaries of Chubb Limited providing insurance and related services. For a list of these subsidiaries, please visit our website at Insurance provided by U.S. based Chubb underwriting companies. Insurance products are underwritten by Combined Insurance Company of America, Chicago, IL, a Chubb company