What is Combined insurance sickness form?

The Combined insurance sickness form is a document that policyholders need to fill out when filing a claim for sickness benefits under their insurance policy. This form provides the necessary information for the insurance company to process the claim and determine the policyholder's eligibility for benefits.

What are the types of Combined insurance sickness form?

There are several types of Combined insurance sickness forms that policyholders may encounter based on their specific policy and the insurance company's requirements. Some common types include:

Initial sickness claim form
Continuing sickness claim form
Return-to-work form after sickness claim
Doctor's certification form for sickness claim

How to complete Combined insurance sickness form

Completing the Combined insurance sickness form is a straightforward process. Follow these steps to ensure your form is filled out correctly:

01
Provide accurate personal information, including your name, policy number, and contact details
02
Describe the nature of your sickness and how it prevents you from working
03
Attach any required supporting documentation, such as a doctor's note or medical records
04
Sign and date the form before submitting it to the insurance company

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Video Tutorial How to Fill Out Combined insurance sickness form

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Questions & answers

To speak with your friendly, local Combined Insurance sales representative, call our main number at 1 888 234-4466 or contact one of our offices below.
A World of Benefits. Search “MyCombined” on Google Play or the App Store.
If you need to make a claim contact your insurer as soon as possible and ask them to send you a claim form. They may be able to email this to you to speed things up. Complete the claim form carefully and keep a copy for yourself.
In order to take care of your claim as soon as possible, we ask that you give us written notice of a claim within 30 days after a covered loss starts, or as soon as is reasonably possible. Who should complete the claim form? We provide you with instructions on who should complete the form and how to file it.
Whom do I call? You can contact us at 1-800-225-4500 and one of our customer service specialists will assist you. Our business hours are 7:30 a.m. - 6:00 p.m. CST, Monday through Friday. If you reside in New York and are a Combined Life Insurance Company of New York policyholder, call 1-800-951-6206.
To file Combined Insurance claims, print the claim form instructions, then simply click and print out the appropriate form from the available list below. Complete the form. specific sections must be completed by your employer and doctor, and mail or fax it to the appropriate address or fax number.