NOTE: So that we may provide the correct state-specific information, please return to the home page and select your state and school.
1. Download the claim form (PDF).
2. Complete the claim form. If claim is for treatment of an injury, include details of how, when and where the accident occurred.
3. Send the claim form, along with all itemized, original bills to:
American Insurance Administrators
P.O. Box 1149
Columbus, OH 43216-1149
PLEASE NOTE: The insurance company will not accept photocopies of bills or balance due statements. Only one form per policy per insured person is necessary, regardless of the number of bills or providers.