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How do I
contact the Claims Office?
PLANS A, B, C, D, AB, CD, E & S
AIGCS - 1-800-551-0824
PO BOX 25987
Shawnee Mission, KS 66225
PLANS ECONOMY100, ECONOMY250, STANDARD100, STANDARD250, SUPER100,
SUPER250, & EPLUS
Co-ordinated
Benefit Plans, Inc -
(866) 282-6524
PO
BOX 26222
Tampa, FL 33623-6222
Outbound Plans - Atlas and Citizen Secure
Client Zone: https://zone.hccmis.com/clientzone/
HCC Medical Insurance Services -
(800) 605-2282 / If calling from outside the US, call
collect to (317) 262-2132
PO BOX 863 Indianapolis, IN 46206
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Where do I send my Claim?
Please contact
the Claims Office regarding any claims question or to
check on the status of your claim. All Claims
MUST be mailed directly to the Claims Office:
PLANS
A, B, C, D, AB, CD, E & S (policies
starting with VTM)
AIGCS -
1-800-551-0824
PO
BOX 25987
Shawnee
Mission, KS 66225
PLANS
ECONOMY100, ECONOMY250, STANDARD100, STANDARD250, SUPER100,
SUPER250, & EPLUS
(policies starting with VSC or VSU)
Co-ordinated
Benefit Plans, Inc -
(866) 282-6524
PO
BOX 26222
Tampa, FL 33623-6222
Outbound Plans - Atlas and Citizen Secure
Client Zone:
https://zone.hccmis.com/clientzone/ HCC
Medical Insurance Services - (800) 605-2282 /
If calling from outside the US, call collect to (317)
262-2132
PO BOX 863 Indianapolis, IN 46206
Please Note:
The Claims Office will process your claim, except for your per
occurrence Deductible. Payment of the Deductible
and Co-insurance is your responsibility and you will need to pay this
amount directly to the doctor.
If your policy number does
not begin with VTM, VSC or VSU, you may have a policy with one of
our other carriers. Before sending in your
claim, please contact our office to be sure your claim
is being directed to the correct Claim's Office.
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If I
have an ISIS Policy where do I send my Claims?
Important Notice for clients with ISIS Claims: As
of July 2006, ISIS is no longer available for
purchase in the USA. If you have an ISIS Claim,
please contact the Agent that you purchased the
policy from. If you have an unpaid claim from
2006-2007, please forward your claim to the
Underwriter, American Fidelity.
American Fidelity
Assurance Company
PO Box 25523
Oklahoma City, Oklahoma 73125-0523
Main phone number
(800) 654-8489
Please be sure your Policy Number is included on the
Claim Form. If you are not sure where to send
your claim, please contact our office at
1-800-247-5575.
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How can I
get a copy of My VISIT Policy?
Listed below are
the policy documents for each VISIT Plan. To view the
policy, click on the document and you will be able to
view a PDF file of each policy.
PLANS A, B, C, D, AB, CD, E & S
Underwritten by the Insurance Company of the State of Pennsylvania, a
member company of AIU Holdings, rated A "Excellent" by A.M. Best
PLAN A Policy - Group# 9110155
PLAN B Policy
- Group# 9110156
PLAN C Policy
- Group # 9110157
PLAN D Policy
- Group# 9110158
PLAN
E Policy - Group# 9112692 - prior to July 1,
2008
PLAN E Policy - Group# 91122692 - Effective July 1,
2008
PLAN AB Policy - Group # 9123973
PLAN CD Policy - Group # 9123974
PLAN S Policy - Group # 9123946
PLANS - Economy,
Standard, Super, Platinum & EPLUS
Underwritten by Virginia Surety Company, Inc. (VSC), rated A-
“Excellent” by A.M. Best. The VSC Master Policies are filed
under form numbers IN/OUT-EOC (01/2004) and Liability AIFS LIAB (IL
09/98R)
PLAN ECONOMY100
PLAN
ECONOMY250
PLAN STANDARD100
PLAN STANDARD250
PLAN SUPER100
PLAN SUPER250
PLAN
PLATINUM100
PLAN PLATINUM250
PLAN EPLUS
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Outbound Plans - Atlas & Citizen Secure
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How do I get
a Claim Form?
You may
download a claim form here or contact the Claims
office at the number above. Please choose a
claim form that corresponds with your Plan. Be
sure to reference your Group Number when contacting
the Claim's Office.
PLANS A, B, C, D, AB, CD, E & S
Underwritten by the Insurance Company of the State of Pennsylvania, a
member company of AIU Holdings, rated A "Excellent" by A.M. Best
Plan A
Claims Kit - Group # 9110155
Plan B
Claims Kit - Group # 9110156
Plan C
Claims Kit - Group # 9110157
Plan D Claims
Kit - Group # 9110158
Plan E Claims
Kit - Group # 9112692
Plan AB
Claims Kit - Group # 9123973
Plan CD
Claims Kit - Group # 9123974
Plan S
Claims Kit - Group # 9123946
PLANS ECON100, ECON250, STD100, STD250,
SPR100 & SPR250
Underwritten by Virginia Surety Company, Inc. (VSC), rated A-
“Excellent” by A.M. Best. The VSC Master Policies are filed
under form numbers IN/OUT-EOC (01/2004) and Liability AIFS LIAB (IL
09/98R)
VA SURETY Claim Form
VA
SURETY Liability Claim Form
ATLAS & Citizen
Secure
HCC Claim Form
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