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GROUP ACCIDENT OR SICKNESS INITIAL CLAIM FORM INSTRUCTIONS: Employee must complete PART I. Take form to your Physician for completion of PART II. Return form to your Employer for completion of PART

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What is group accident or sickness?

Group accident or sickness insurance provides coverage for medical expenses resulting from accidental injuries or illnesses that occur to a group of individuals, typically employees of a company.

Who is required to file group accident or sickness?

Employers or plan administrators are required to file group accident or sickness insurance claims on behalf of their employees.

How to fill out group accident or sickness?

To fill out a group accident or sickness claim, the employer or plan administrator needs to gather information on the injured or ill employee, the nature of the accident or sickness, medical treatment received, and any other relevant details.

What is the purpose of group accident or sickness?

The purpose of group accident or sickness insurance is to provide financial protection to individuals in the event of unexpected accidents or illnesses that result in medical expenses.

What information must be reported on group accident or sickness?

Information that must be reported on a group accident or sickness claim includes details of the injured or ill individual, the cause of the accident or sickness, medical treatment received, and any other relevant information.

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