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latest version.
|
Title |
Description |
|
K-12_SR.pdf |
This is the claim form used to file a claim
with the
Pennsylvania School Districts K-12 coverage.
The Insurance Company is ACE
USA. This claim form is also used for
Special Risk Claims for the ACE American
Insurance Company. |
|
AIG_MCA_SR_Claimform.pdf |
This claim form is used for Special Risk
claims for National Union Fire Insurance
Company. Claims are paid at MCA
Administrators. |
|
CAT_Claim_Form_AIG.pdf |
This claim form is used for Catastrophic
claims for any of the Chartis Insurance (AIG)
companies. Claims are paid by the Chartis
claim department in Shawnee Mission, KS. |
|
CAT_K12_Claim_Form_Markel |
This claim form is used for Catastrophic
claims under the K-12 Catastrophic coverage
by the Markel Insurance Company. Claims are
paid by Markel at their Glen Allen, VA
office. |
|
College_AS_Sports_
Claimform_Markel |
This claim form is used for claims in the
College Accident & Sickness and or
Intercollegiate Sports policies offered by
the Markel Insurance Company. Claims
are paid at MCA Administrators in
Harrisburg, PA. |
|
MCA_SR_CAS_ICS_claimform |
This claim form is used for filing claims
against our College Accident & Sickness
and or Intercollegiate Sports policies NOT
insured by the Markel Insurance
Company. These claims are paid at MCA
Administrators in Harrisburg, PA. |
|
UWT_GLB9124045.pdf |
Claim form used for United Work & Travel -
Policy # GLB9124045 (2009-2010). The
Insurance Company is The Insurance Company
of the State of Pennsylvania. |
|
global_claimform.pdf |
Claim form used for ALL International plans
OTHER THAN United Work & Travel. The
Insurance Company is the Insurance Company
of the State of Pennsylvania. |
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