Page 14 - CRITICAL ILLNESS, ACCIDENT AND HOSPITAL INDEMNITY INSURANCE ADMIN MANUAL

THE HARTFORD’S EMPLOYEE CHOICE BENEFITS
SM

WHAT IS THE PROCESS FOR FILING A CLAIM?

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The claimant can retrieve the claim
form on the Supplemental Insurance
Claimant Portal at TheHartford.com/ After the claim is submitted, a dedicated Client
benefits/myclaim once they register Resolution Specialist will assess completeness
on the site. Alternatively, the claimant of the claim. Our goal is to ensure claimants
can call 1-866-547-4205 to request a receive all benefits they are entitled to, as
copy, or the employer can retrieve it
from www.employerview.com . quickly as possible.

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The claimant will then: If it's determined that an Attending Physicians
Statement (APS) is needed in order to complete
the claim review, the claimant will :

Select which type of claim is being filed
and provide supporting documentation to Sign the Authorization to Obtain and Disclose
prove the claim, such as medical records, Information section of the claim form;
physician notes, hospital discharge papers, please note, the dependent must also
and itemized medical or hospital bills. sign the Authorization if the claim is for
a covered dependent.

Sign and date the form electronically or in
paper copy (claimant will only need to fill in Provide the signed claim form and the
the benefit section(s) relevant to them). Attending Physicians Statement to the physician
to complete and have the physician mail or
fax to The Hartford Supplemental Insurance
Benefit Department.
Submit the completed form and supporting
documentation through the online portal at
TheHartford.com/benefits/myclaim
OR

Mail or fax the form and documentation to:
The Hartford Supplemental Insurance
Benefit Department
P.O. Box 99906 PLEASE NOTE:
Grapevine, TX 76099 The claimant is responsible for any fees
Fax Number: 1-469-417-1952 charged for proof requirements.

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