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Filing a claim is easy. Once your Application is
accepted, you will receive a kit which contains Claimant's Statement and
Authorization forms. Just complete this Claimant's Statement and Authorization
form, attach original, itemized bills, and forward them to MultiNational
Underwriters, Inc. Be sure to complete your claim form entirely, sign it, and
indicate a convenient time and location to contact you in the event questions
arise. If you have already paid certain expenses, attach copies of your paid
receipts. You will be reimbursed for eligible medical or dental expenses. In
many cases, MultiNational Underwriters, Inc. will make payment directly to the
hospital or physician that treated you. Remember, you are responsible for the
deductible, coinsurance, and any ineligible charges.
| Claim Forms | |||
| Claim Forms | PDF (22.88 KB) | DOC (46 KB) | |
| Spanish Claim Form | PDF (116.09 KB) | DOC (48.5 KB) | |