If you need a to file a claim for the Group Accident & Sickness Hospital Cash Insurance Benefits in the Gap HCI Product click below for the claim form you need to use.
Accident & Sickness Hospital Cash Insurance is underwritten by:
Federal Insurance Company, a member insurer of the Chubb Group of Companies
The Claims Administrator for the Group Accident & Sickness Hospital Cash Insurance Benefits in the Gap HCI Plan is: Health Special Risk, Inc. (HSR)
HSR Plaza II | 4100 Medical Parkway | Carrollton, TX 75007 | Phone: 866.523.3452
Fax: 972.512. 5824 | Email: firstname.lastname@example.org
Reference the Policy Number: 9908-17-48
Important: Healthy America and United Business Association (UBA) are not authorized to pay claims or be involved in the claims decision process. All claim decisions are made by the TPA claims administrator and the insurance carrier.
If you need help, contact us at 866.438.4274 and we will be happy to try and assist you.