Make a follow-up

Home Group Insurance Make a follow-up on a claim

Group Insurance

Follow up on a group insurance claim

Need information about a group insurance claim that you submitted? Fill out the form below. A member of our team will contact you shortly.

* Fields marked with an asterisk are mandatory.

I am*(Required)

Full name*(Required)

First name of plan member*(Required)

Last name of plan member*(Required)

Type of claim*(Required)

Nature of inquiry

Please note that our standard turnaround time is 2 to 3 business days from the date of reception of this form.

Telephone number*(Required)

What is the best time to contact you by telephone?

Email address*(Required)

Note: If you wish to retain a copy of this Claim Tracking form, please print the form before submitting it.

This site is protected by reCAPTCHA Enterprise and Google Privacy Policy and Terms of Use apply.

Name

This field is for validation purposes and should be left unchanged.