Welcome!
Let's Make This Easy

You made a great decision. You put your trust in us to help make sure your insurance needs are met. It’s our goal to continue to meet those needs, no matter what challenges life may bring you. 

Welcome!

Life Is Full Of Changes. We’re Here To Help You
Through Them — Whenever You Need Us.

This policyholder center is designed to make it easy for you to connect with us in whatever way is easiest for you — online, by phone, even by mail or fax.

 

 

Please note that this Policyholder Center is for customers residing in the United States of America.  To access our other websites, please use the Country Selector at the bottom of this page.

Your Policy Made Easy

Everything relating to your Combined Insurance Policy — from claims to updating your account or making a payment — is a click away.

Don't Have an Account?

Enjoy online access and manage your policy at your fingertips. 

Change Happens

A lot. If your life has changed recently — new home, marriage, baby or even just changing your bank — you can update your information.

LOG IN TO MY ACCOUNT
CREATE MY ACCOUNT
UPDATE MY INFORMATION

Helpful Tips

Filing a claim can be overwhelming. We want to make it as smooth as possible for you. You'll need this information handy:

  • Policy number
  • Policyholder name and birthdate
  • Copies of all claim-related documents like an Attending Physician statement or invoices
START A CLAIM

 

Other Ways to File a Claim

You can also submit your claim by mail or over the phone. Simply download the appropriate form from the Forms and Documents section below, print it out and complete it. Once all the information is filled in, just send it to the address or fax number below, or call us at the numbers provided.

Mail/Fax:
Combined Insurance
Claim Department
P.O. Box 6700
Scranton, PA 18505-0700
Fax: +1 312-351-6930

 

Call Us:

All U.S. Except New York State
Toll-free: +1-800-225-4500
Fax: +1-312 351-6930
Monday through Friday 7:30 a.m. - 6:00 p.m. CST

New York Residents
Toll-free: +1-800-951-6206
Fax: +1-312 351-6930
Monday through Friday 8:30 a.m. - 7:00 p.m. EST

We know that the loss of a loved one is a difficult, stressful experience — and we are here to help. To file a life claim, print out and complete the appropriate claim form below, then send it to us, along with the supporting documents listed.

All U.S. Except New York

Policy Payment Claim Form

Payroll Deduction Claim Form

 

New York Residents

Policy Payment Claim Form

Payroll Deduction Claim Form

 

We will also need:

  • Policy number (if known)
  • Your loved one's death certificate
  • The obituary notice (if available)

Mail or fax the form and supporting documents to:

Combined Insurance
Claim Department
P.O. Box 6700
Scranton, PA 18505-0700
Fax: +1 312-351-6930

Claims Status Made Easy

It’s quick and easy to track your claim and get any help that you may need.

Helpful Tips:

Filing a claim can be overwhelming. We want to make it as smooth as possible for you. You'll need this information handy:

  • Policy number
  • Policyholder name and birthdate
MY CLAIM STATUS

 

Prefer to Call?

You can also check the status of your claim via phone.

All U.S. Except New York State:
+1 800-225-4500
Monday-Friday, 7:30 am – 6:00 pm CST.

New York Residents:
+1 800-951-6206
Monday-Friday, 7:30 am – 6:00 pm EST

You can count on Combined for Claims Made Easy.

 

 

Make a Payment Online

It’s easy to make a payment to your Combined Insurance account — either by automatic withdrawal from your bank account, or by credit card or check.

Helpful Tips:

To make a payment all you need is your policy number and your login information. If you are unable to find your policy number please contact us.

MAKE A PAYMENT ONLINE

 

Prefer to Mail?

No problem! For all customers except NY, just mail your payment to:

Combined Insurance
PO Box 6518
Carol Stream, IL 60197-6158

For NY customers:

Combined Life Insurance Co of NY
PO Box 5287
Carol Stream, IL 60197-5287

 

 

At Combined Insurance, our mission is to make insurance easy — whether you are selecting a policy, managing your premiums or filing a claim. The forms and documents below will help you get done what you need to do — quickly and easily.

VER DOCUMENTOS EN ESPAÑOL

 

Wellness Claim Forms

Individually owned coverage:
Policy #'s D, F, G, H, K, M, N, P, R, T, V, or a number

Claim Form, all U.S., Except New York

Wellness Claim Form


Claim Form, New York only

Wellness Claim Form NY

Employer Group Coverage or another organization:
Policy #'s "W" or "C"

Claim Form, all U.S., Except New York -> Policy # "W"

Wellness Claim Form
 

Claim Form, New York only-> Policy # "C"

Wellness Claim Form NY

Accident Claim Forms

Individually owned coverage:
Policy #'s  D, F, G, H, K, M, N, P, R, T, V, or a number

 

Claim Form, all U.S., Except New York

Accident Claim Form

 

Claim Form, New York only

Accident Claim Form NY

 

Employer Group Coverage or another organization:
Policy #'s  "W" or "C"

 

Claim Form, all U.S., Except New York -> Policy # "W"

Accident Claim Form

 

Claim Form, New York only-> Policy #  "C"

Accident Claim Form NY

 

Hospital Indemnity Claim Forms

Individually owned coverage: 
Policy #'s  D, F, G, H, K, M, N, P, R, T, V, or a number

Claim Form, all U.S., Except New York

Hospital Indemnity Claim Form

 

Claim Form, New York only

Hospital Indemnity Claim Form NY

 

Employer Group Coverage or another organization:
Policy #'s "W" or "C"

Claim Form, all U.S., Except New York -> Policy # "W"

Hospital Indemnity Claim Form

 

Claim Form, New York only-> Policy # "C"

Hospital Indemnity Claim Form NY

Critical Illness Claim Forms

Individually owned coverage: 
Policy #'s D, F, G, H, K, M, N, P, R, T, V, or a number

Claim Form, all U.S., Except New York

Critical Illness Claim Form

 

Claim Form, New York only

Critical Illness Claim Form NY

Employer Group Coverage or another organization:
Policy #'s  "W" or "C"

Claim Form, all U.S., Except New York -> Policy # "W"

Critical Illness Claim Form

 

Claim Form, New York only-> Policy # "C"

Critical Illness Claim Form NY

Sickness / Disability Claim Forms

Individually owned coverage: 
Policy #'s D, F, G, H, K, M, N, P, R, T, V, or a number

Claim Form, all U.S., Except New York

Sickness / Disability Claim Form

 

Claim Form, New York only

Sickness / Disability Claim Form NY

Employer Group Coverage or another organization:
Policy #'s "W" or "C"

Claim Form, all U.S., Except New York -> Policy # start with a "W"

Sickness / Disability Claim Form
 

Claim Form, New York only-> Policy #  "C"

Sickness / Disability Claim Form NY

Life Claim Forms

All U.S. Except New York

Claim Form

 

New York Residents

Claim Form

 

Authorizations

Individually owned coverage: 
Policy #'s D, F, G, H, K, M, N, P, R, T, V, or a number

Authorization to Obtain and Disclose Information, all U.S., Except New York

Authorization to Obtain and Disclose Information, New York only


Authorization for Additional Contact, all U.S., Except New York


Authorization for Additional Contact, New York only

 

Revocation of Appointment of Representative

Employer Group Coverage or another organization:
Policy #'s "W" or "C"

Authorization to Obtain and Disclose Information, all U.S., Except New York

Authorization to Obtain and Disclose Information, New York only

 

Authorization for Additional Contact, all U.S., Except New York


Authorization for Additional Contact, New York only

 

Revocation of Appointment of Representative

Change of Information Forms

All U.S. Except New York

Policyholder Payment

Change of Address Form

Change of Beneficiary Form

Change of Ownership Form

Change of Bank Information Form

 

Payroll Deduction

Change of Beneficiary Form

Change of Ownership Form

New York Residents

Policyholder Payment

Change of Address Form

Change of Beneficiary Form

Change of Ownership Form

Change of Bank Information Form

 

Payroll Deduction

Change of Beneficiary Form

Change of Ownership Form

 

GENERAL INQUIRIES

Please tell us how and when to reach you and we will be in touch shortly.

If you are a California resident, please read our Notice at Collection.

 

Please note:

By entering your name, phone number, and clicking "Submit," you are

1) electronically signing this form and

2) consenting to Combined Insurance ("our," "us" or "we") making autodialed calls to you at the landline or wireless phone number(s) you provide.

You are not required to provide such consent as a condition of purchasing Combined Insurance products.

This consent will not be available in paper form; you are encouraged to print this form for your records.

This consent only authorizes us to call you at the phone number(s) you provide in response to this request for information.

 

Our customer service representatives are available during usual business hours and ready to help.

 

Chubb Workplace Benefits

Group-level supplemental benefits provided by an employer, union, or association (premiums commonly withdrawn from your paycheck)

 

Online Portal:
www.chubb.com/WorkplaceBenefitsClaims

Support: +1 833-542-2013
Claim Fax: +1 312-351-7120

 


Chubb Workplace Benefits (CWB) Special Market Plans:
Support: +1 888-499-0425
Claim Fax: +1 312-351-7114

 

Combined Worksite Solutions

Supplemental benefits obtained through a sales representative sponsored by an employer

 

 

Online Portal: 
https://my.combinedinsurance.com/en-US/login

Support: +1 800-544-9382

Claim Fax: +1 312-351-6930
Service Fax: +1 312-351-6940

Combined Insurance
US

Supplemental benefits obtained through a sales representative for individuals and families

 

 

Online Portal: 
https://my.combinedinsurance.com/en-US/login

Support: +1 800-225-4500

Claim Fax: +1 312-351-6930
Service Fax: +1 312-351-6940

 

 

 

If you wish to inquire about Combined Insurance products without submitting your information online, call us at:
 1-800-490-1322