Brochures & Claim Forms
plus other important documents
Claim Forms |
| Claimant's Statement (Standard Form) |
PDF (164.01 KB) |
|
| Non US Claim Form |
PDF (102.43 KB) |
|
| Dental Claim Form |
PDF (160.49 KB) |
|
| Accident Questionnaire |
PDF (118.25 KB) |
|
Spanish Claimant's Statement
(Standard Form) |
PDF (155.21 KB) |
|
| Spanish Non-US Claim From |
PDF (104.78 KB) |
|
| Spanish Dental Claim Form |
PDF (153.16 KB) |
|
| Spanish Accident Questionnaire |
PDF (106.41 KB) |
|
| Trip Cancellation Series |
|
HTML |
| CorpsCare |
|
HTML |
| Back to Top |
Brochures |
Atlas Travel |
| Brochure |
PDF (673.63 KB) |
|
| Application |
PDF (224.74 KB) |
|
| Spanish Brochure |
PDF (704.22 KB) |
|
| Spanish Application |
PDF (257.99 KB) |
|
| Back to Top |
| |
Atlas Group |
| Brochure |
PDF (644.62 KB) |
|
| Application |
PDF (200.00 KB) | |
| Spanish Brochure |
PDF (666.01 KB) |
|
| Spanish Application |
PDF (203.59 KB) |
|
| Back to Top |
| |
Atlas Professional |
| Brochure |
PDF (610.09 KB) |
|
| Application |
PDF (104.61 KB) |
|
| Spanish Brochure |
PDF (619.39 KB) |
|
| Spanish Application |
PDF (106.68 KB) |
|
| Back to Top |
| |
Atlas Corporate |
| Brochure & RFP |
PDF (51.12 KB) |
|
| Spanish Brochure & RFP |
PDF (62.69 KB) |
|
| Back to Top |
| |
CitizenSecure® |
| Brochure |
PDF (674.56 KB) |
|
| Application |
PDF (287.40 KB) |
|
| Spanish Brochure |
PDF (1.68 MB) |
|
| Spanish Application |
PDF (281.45 KB) |
|
| Back to Top |
| |
CitizenSecure® Economy |
| Brochure |
PDF (674.56 KB) |
|
| Application |
PDF (257.61 KB) |
|
| Spanish Brochure |
PDF (1.68 MB) |
|
| Spanish Application |
PDF (249.93 KB) |
|
| Back to Top |
| |
StudentSecure® |
| Brochure |
PDF (846.59 KB) |
|
| Application |
PDF (117.97 KB) |
|
| Spanish Brochure |
PDF (874.99 KB) |
|
| Spanish Application |
PDF (117.18 KB) |
|
| Back to Top |
| |
IC+ Term Life |
| Brochure |
PDF (41.96 KB) |
|
| Application |
PDF (32.30 KB) |
|
| Back to Top |
| |
GroupSecure® |
| Brochure |
PDF (521.23 KB) |
|
| Enrollment Form |
PDF (42.08 KB) |
|
| Request for Proposal |
PDF (39.92 KB) |
|
| Spanish Brochure |
PDF (322.66 KB) |
|
| Spanish Enrollment Form |
PDF (45.61 KB) |
|
| Spanish RFP |
PDF (36.89 KB) |
|
| Back to Top |
| |
HCC Life Short Term Medical |
Please select a state to access the
Brochure, Application, Rate and
Claimant's Statement documents |
|
| Back to Top |
How to Apply
Skip the Forms, Apply Online Now
To apply manually, simply download, print, and complete the appropriate application. Then fax it to our offices at 317.262.2140.
File formats include Adobe Acrobat (PDF), HTML (for your web browser), and Microsoft Word (DOC).
To view PDF files you will need Adobe Acrobat Reader.
You can download the software for free: 
