What to do; Where to go
CALL CLAIMS
1-800-605-2282
as soon as possible before a planned hospitalization or surgical procedure, within 48 hours of an emergency hospital admission or within the first 90 days of pregnancy.
These are the forms you will need:
*Claimant's Statement (Standard Form) English [PDF]
*Accident Questionnaire English [PDF]
*Dental Claim Form English [PDF]
Contact HCCMIS, the Plan Administrator for all Executive Health Plan and Atlas plans.
HCC Medical Insurance Services, LLC strives to provide personal care 24 hours a day, 7 days a week to answer your questions and respond to your needs. Whether you have questions about one of our international plans or need service in relation to an existing plan, we are available to assist you. Click here for HCCMIS’s contact information or use our CHAT LIVE feature.
*You can fax the forms to HCCMIS at (317) 262-2140 or email them to claims@hccmis.com





