Policyholder Services & Claims

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Claim Forms

Assurity

APL

Accident
Critical Illness
Short Term Disability (for off-the-job injuries and illnesses)
Hospital Indemnity

Illinois Mutual

Wellness Benefits

Assurity

APL

Accident Wellness
Critical Illness Wellness
Accident and Critical Illness Wellness

Illinois Mutual

Instructions for Wellness Benefits
- Wellness

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DON'T SEE THE CLAIM FORM YOU NEED? PLEASE DIRECT YOUR CLAIM INQUIRIES TO:

Jade Wood

jade@WareGroupGA.com

217-607-0742 Ext. 213

855-535-4231 (toll free)

217-954-0348

3808 W. Springfield Ave. Suite C
Champaign, IL. 61822

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