Page 13 - CRITICAL ILLNESS, ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ADMIN MANUAL
P. 13
THE HARTFORD’S EMPLOYEE CHOICE BENEFITS
SM
SUBMITTING CLAIMS FOR CRITICAL ILLNESS,
ACCIDENT AND HOSPITAL INDEMNITY INSURANCE
INTRODUCTION
This section explains the process for submitting Critical Illness, Accident and/or Hospital Indemnity claims.
Part of your job is to help claimants understand how to file a claim correctly so the process can go smoothly.
The following guide gives directions for submitting a claim and indicates your responsibilities as well as those
of the claimant.
WHEN SHOULD A CLAIM BE FILED?
Critical Illness - File after a physician has diagnosed an employee
or a covered dependent with an illness that's covered by the policy,
or after an employee or dependent has undergone a health screening
and is eligible for a Health Screening Benefit (if included in the policy).
PLEASE NOTE: Accident - File after an employee or a covered dependent has been
The benefit provisions involved in a covered accident.
in group policies differ, Hospital Indemnity - File after an employee or a covered dependent
so you must refer to the has incurred a hospital stay that's covered by the policy, or after an
employee or dependent has undergone a health screening and is eligible
section(s) that applies to for a Health Screening Benefit (if included in the policy).
your employee’s voluntary The Health Screening Benefit may not require a submission of a claim
benefit selection. If you form. Claims for this benefit may be submitted telephonically.
have questions about which WHO CAN FILE A CLAIM?
benefits are included in your The employee/claimant will need to complete the claim form. If the
plan, please refer to your employee is incapacitated then his or her authorized representative
group insurance policy. can file a claim on the employee’s behalf along with supporting legal
documentation (e.g., Power of Attorney).
For the Health Screening Benefit:
1. Claimant or eligible dependent should call 1-866-547-4205
2. Provide the following information to the Claim Customer
Service Representative:
a. Name of preventive test
b. Date test was performed
c. Provider name, address and phone number
13
SM
SUBMITTING CLAIMS FOR CRITICAL ILLNESS,
ACCIDENT AND HOSPITAL INDEMNITY INSURANCE
INTRODUCTION
This section explains the process for submitting Critical Illness, Accident and/or Hospital Indemnity claims.
Part of your job is to help claimants understand how to file a claim correctly so the process can go smoothly.
The following guide gives directions for submitting a claim and indicates your responsibilities as well as those
of the claimant.
WHEN SHOULD A CLAIM BE FILED?
Critical Illness - File after a physician has diagnosed an employee
or a covered dependent with an illness that's covered by the policy,
or after an employee or dependent has undergone a health screening
and is eligible for a Health Screening Benefit (if included in the policy).
PLEASE NOTE: Accident - File after an employee or a covered dependent has been
The benefit provisions involved in a covered accident.
in group policies differ, Hospital Indemnity - File after an employee or a covered dependent
so you must refer to the has incurred a hospital stay that's covered by the policy, or after an
employee or dependent has undergone a health screening and is eligible
section(s) that applies to for a Health Screening Benefit (if included in the policy).
your employee’s voluntary The Health Screening Benefit may not require a submission of a claim
benefit selection. If you form. Claims for this benefit may be submitted telephonically.
have questions about which WHO CAN FILE A CLAIM?
benefits are included in your The employee/claimant will need to complete the claim form. If the
plan, please refer to your employee is incapacitated then his or her authorized representative
group insurance policy. can file a claim on the employee’s behalf along with supporting legal
documentation (e.g., Power of Attorney).
For the Health Screening Benefit:
1. Claimant or eligible dependent should call 1-866-547-4205
2. Provide the following information to the Claim Customer
Service Representative:
a. Name of preventive test
b. Date test was performed
c. Provider name, address and phone number
13
