HNMC Logo September 2021

Your Voluntary Benefits

We want to make sure you’re getting the most out of your benefits. Please see below to learn more about your voluntary benefit plans and the opportunities that come with each policy.

Schedule Your Telephonic Appointment

2023 Benefits Open Enrollment:
Voluntary Benefits

shutterstock_788454196 (2)

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:

  • Ask questions about your voluntary benefits
  • Receive help choosing the best plans for your needs
  • Enroll in your voluntary benefits

Schedule Your Telephonic Appointment

or call 850-905-6792, Monday - Friday, 7 a.m. - 8 p.m. Eastern.

Permanent Life Insurance with Long Term Care 

What is Permanent Life Insurance with Long Term Care? ▼

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.

Learn More

How to File a Claim ▼

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

Download Claim Form

FAQs

 

 

Short-Term Disability

What is Short-Term Disability Insurance? ▼

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.

Learn More

How to File a Claim ▼

1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.

  • Complete Sections A, D and E.
  • Have your employer complete Section F.
  • Have your physician complete Section G.

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

Download Claim Form

 

 

Accident Insurance

What is Accident Insurance? ▼

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. 

Learn More

How to File a Claim ▼

1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.

  • Complete Sections A, B, and D.
  • Have your physician complete Section G.

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

Download Claim Form

 

Critical Illness Insurance

What is Critical Illness Insurance? ▼

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. 

Learn More

How to File a Claim ▼

1. Download the claim form available online at www.chubb.com/WorkplaceBenefitsClaims.

  • Complete Sections A, C and D.
  • Have your physician complete Section G.

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

Download Claim Form

 

Hospital Indemnity Insurance

What is Hospital Indemnity Insurance? ▼

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

  • Easy to Qualify
    No health questions are asked or health exam required.
  • Minimize Financial Exposure
    Provides up to $2,500 to help pay for hospitalization.
  • No Pre-existing Conditions
    Benefits are paid regardless of pre-existing conditions (except for pregnancy and childbirth when conception occurred prior to the employee’s effective date).
  • No Benefit Coordination
    Chubb High Deductible Buffer benefits are paid regardless of any other medical coverage employee may have.
  • Spouse and Children Coverage Available
    Extend Chubb High Deductible Buffer coverage to members of family.

Learn More

How to File a Claim ▼

Submit your fully completed Hospital Indemnity claim forms by Email, Fax or Mail along with supporting documentation:

  • Itemized medical bills
  • Standardized billing statements (this is information from your providers for hospital charges and physician charges)
  • Explanation of Benefits (EOB’s)
  • Any additional medical bills you may have available

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

Mail

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

shutterstock_148903478