Brochures & Claim Forms
plus other important documents
Claim Forms |
| Claimant's Statement (Standard Form) |
PDF (40 KB) |
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| Non US Claim Form |
PDF (162 KB) |
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| Dental Claim Form |
PDF (195 KB) |
|
| Accident Questionnaire |
PDF (130 KB) |
|
Spanish Claimant's Statement
(Standard Form) |
PDF (238 KB) |
|
| Spanish Non-US Claim From |
PDF (135 KB) |
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| Spanish Dental Claim Form |
PDF (172 KB) |
|
| Spanish Accident Questionnaire |
PDF (162 KB) |
|
| Trip Cancellation Series |
|
HTML |
| CorpsCare |
|
HTML |
| Back to Top |
Brochures |
Atlas Travel |
| Brochure |
PDF (433 KB) |
|
| Application |
PDF (43 KB) |
|
| Spanish Brochure |
PDF (434 KB) |
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| Spanish Application |
PDF (44 KB) |
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| Back to Top |
| |
Atlas Group |
| Brochure |
PDF (473 KB) |
|
| Application |
PDF (26 KB) |
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| Spanish Brochure |
PDF (436 KB) |
|
| Spanish Application |
PDF (40 KB) |
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| Back to Top |
| |
Atlas Professional |
| Brochure |
PDF (434 KB) |
|
| Application |
PDF (24 KB) |
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| Spanish Brochure |
PDF (428 KB) |
|
| Spanish Application |
PDF (25 KB) |
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| Back to Top |
| |
StudentSecure® |
| Brochure |
PDF (451 KB) |
|
| Application |
PDF (117.97 KB) |
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| Spanish Brochure |
PDF (504 KB) |
|
| Spanish Application |
PDF (117.18 KB) |
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| Back to Top |
| |
HCC Life Short Term Medical |
| Brochure |
|
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| Claimant's Statement |
|
|
| Application |
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Please select a state to access the Brochure, Claimant's Statement and Application.
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| 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: 
