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 - Standard 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 standard premiums*, 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
Claim Department
5050 North Broadway
Chicago, Illinois 60640-3060 USA

Claim Form Instructions

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

New York Form

Claim Forms

*If your premium is 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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