Open Enrollment for your Voluntary Benefits will be held from October 10 - 21, 2022.
For the safety of our team members, benefit counselors will provide support over the phone rather than in person. Benefit counselors are available to conduct appointments in English or Spanish. Speak with a counselor to:
Permanent Life Insurance with Long Term Care through Chubb provides permanent, flexible protection. The policy’s living benefits provide financial support to cover the cost of long-term care you might need as a result of an accident, illness, or aging. As life insurance, LifeTime Benefit Term protects your family with money that can be used any way they choose like your mortgage or rent, education for children, retirement, and final expenses.
Call 855 241-9891 to file a claim.
Claims mailed, emailed, or faxed.
FAX 603-352-1179
Email CLAIMS@gotoservice.chubb.com
Mail to One Integrity Parkway Cleveland, OH 44143
No one plans on losing their paycheck . . . but just in case, we’ve got you covered.
With Chubb Disability Income insurance, you can receive a monthly benefit check to help replace your income if you have a sickness, injury or pregnancy that causes you to miss work. For each day you are out of work and disabled, Chubb will pay you benefits to replace your income. With Chubb Disability Income insurance, you can receive a disability benefit amount of up to 20% of your income, up to $5,000 per month without
providing medical history. Chubb Disability Income insurance goes to work when you can’t.
1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.
2. Review the Fraud Notification for your state located on the fifth or sixth page.
3. Sign and date the claim form on the signature line provided at the end of the Fraud Notification page of the claim form. If you do not sign the Fraud Notification page, we cannot accept your claim submission.
4. Elect to receive documents electronically and, if your claim is payable, opt-in to receive your benefit payment sent electronically via bank transfer into a checking account, transfer into a PayPal account, or transfer to a debit card (as available). To authorize this, please complete and sign the Consent to Electronic Transactions, Payments and Signature document
5. Sign and date the Authorization to Obtain and Disclose Health Information.
6. Send your signed, completed claim form with the Attending Physician’s Statement, Employer Statement, if applicable, and any medical bills or documentation that you may have related to your accident or illness to:
Chubb Workplace Benefits
Claim Department
PO Box 6803
Scranton, PA 18505-6803
You do everything you can to stay active and healthy, but accidents happen every day, including sports-related accidents. An injury that hurts an arm or leg can hurt your finances too. That's where Chubb Accident insurance can help.
Chubb Accident insurance pays cash benefits directly to you or anyone you choose regardless of any other coverage you have. Benefits are designed to cover health plan gaps for out-of-pocket expenses like deductibles, copays, and coinsurance. Let Chubb Accident insurance help take care of your bills so you can take care of yourself and your family.
1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.
2. Review the Fraud Notification for your state located on the fifth or sixth page.
3. Sign and date the claim form on the signature line provided at the end of the Fraud Notification page of the claim form. If you do not sign the Fraud Notification page, we cannot accept your claim submission.
4. Elect to receive documents electronically and, if your claim is payable, opt-in to receive your benefit payment sent electronically via bank transfer into a checking account, transfer into a PayPal account, or transfer to a debit card (as available). To authorize this, please complete and sign the Consent to Electronic Transactions, Payments and Signature document
5. Sign and date the Authorization to Obtain and Disclose Health Information.
6. Send your signed, completed claim form with the Attending Physician’s Statement, Employer Statement, if applicable, and any medical bills or documentation that you may have related to your accident or illness to:
Chubb Workplace Benefits
Claim Department
PO Box 6803
Scranton, PA 18505-6803
Critical illnesses don't give you time to prepare. Heart attacks, cancer and strokes happen every day, and often unexpectedly. They can take a serious toll on both your physical and financial well-being.
That's where critical illness protection can help. Critical Illness insurance helps you deal with the costs associated with a critical illness so you can maintain your lifestyle and focus your energy on getting better. The plan pays a lump sum cash benefit for covered conditions, in addition to what health insurance may pay.
1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.
2. Review the Fraud Notification for your state located on the fifth or sixth page.
3. Sign and date the claim form on the signature line provided at the end of the Fraud Notification page of the claim form. If you do not sign the Fraud Notification page, we cannot accept your claim submission.
4. Elect to receive documents electronically and, if your claim is payable, opt-in to receive your benefit payment sent electronically via bank transfer into a checking account, transfer into a PayPal account, or transfer to a debit card (as available). To authorize this, please complete and sign the Consent to Electronic Transactions, Payments and Signature document
5. Sign and date the Authorization to Obtain and Disclose Health Information.
6. Send your signed, completed claim form with the Attending Physician’s Statement, Employer Statement, if applicable, and any medical bills or documentation that you may have related to your accident or illness to:
Chubb Workplace Benefits
Claim Department
PO Box 6803
Scranton, PA 18505-6803
No one plans for hospital stays, but just in case, we’ve got you covered. Chubb High Deductible Buffer (Hospital Indemnity Insurance) is designed to help you with the financial exposure of a hospitalization by providing benefits that can be used towards the out-of-pocket costs associated with hospital admission and confinement.
Features
Submit your fully completed Hospital Indemnity claim forms by Email, Fax or Mail along with supporting documentation:
Fax or Email
You may download the appropriate forms from the portal and fax, email or mail them (completed/with the required signatures) to:
Fax number: 610-293-7618
Email: enrollmentservices@visit-aci.com
Administrative Concepts, Inc.
994 Old Eagle School Road, Suite 1005
Wayne, PA 19087-1802
Phone
855-672-1274 for claims or 800-964-7096 for general inquiries
Web
After filing a claim you can view your claim status online at WWW.VISIT -ACI.COM