Whether you need to change your beneficiaries, check on the status of a claim or any other concerns, we are here to assist you.

File an Insurance Claim - Payroll Deducted Premiums

When you need us most, the last thing you want is a difficult, drawn out claim process. That's why Combined Insurance is different ... we strive to make it easy to file insurance claims.

To file Combined Insurance claims for premiums which are payroll deducted*, print the Claim Form Instructions, then simply click on your state of residence from the following list and print out the appropriate form. Complete the form; specific sections must be completed by your employer and doctor, and return the form to us at:

Combined Insurance - Worksite Solutions
Claim Department
P.O. Box 5573
Chicago, Illinois 60680-0280 USA

Claim Form Instructions

U.S. Form (All States with the exception of New York)

New York Form

Claim Forms

If your premium is not paid through payroll deductions, please click here.

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Current Customers

Questions regarding your policies? Need assistance with a claim? Complete the Customer Service Form and a Combined Insurance representative will assist you.

Useful Combined Insurance Numbers:

U.S. Customer Service*
5050 North Broadway
Chicago, Illinois 60640-3060 USA
Toll-free: +1-800-225-4500
Fax: +1-773-765-1850
Monday through Friday
7:30 a.m. - 6:00 p.m. CST

U.S. Policyholder Services*
P.O. Box 87208
Chicago, Illinois 60680-0280 USA
Toll-free: +1-800-225-4500
Fax: +1-773-765-1860
Monday through Friday
7:30 a.m. - 6:00 p.m. CST

* Servicing all States with the exception of New York

New York Residents / Policyholders
Toll-free: +1-800-951-6206
Monday through Friday
8:30 a.m. - 6:00 p.m. EST

Mailing addresses: Same as above
Fax numbers: Same as above

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