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The claim form you are required to complete can vary depending on the insurance company and the type of policy. Below is a list of claim forms by company. Click on the link that applies to your school or organization. You may print out the claim form and submit it to us by mail or fax.


BCS Insurance Company

CIGNA Life Insurance Company of New York or Life Insurance Company of North America

 
Combined Life Insurance Company of New York (New York Policyholders Only)
Combined Insurance Company of America (Policyholders located in all States Except New York)
Fairmont Specialty Companies (United States Fire Insurance Company & The North River Insurance Company)
Hartford Life Insurance Company
 
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