Available Claim Forms
To submit a claim use one of the appropriate company links below. If none are available for your particular claim, please contact us directly.
Great Discounts for Packages, Use of Safety Devices, and Good Students; Companies Located all over the U.S.; "A+" Reputation
Meets/Exceeds National Standards for Quality Health Care; Broad Range of Individual and Family Plans
Individual Health Care; Small Employer Group Health Insurance; Group Dental, Disability, and Life Insurance
Brotherhood Mutual Insurance
Church & Ministry Insurance
Burns & Wilcox
North America's Largest Privately Owned Wholesale Broker; Royal Premium Financing; Family-owned Company
One of the Top Three Health Plans in the St. Louis Market; Includes St. Louis/Metro East, Mid-Missouri, and Central and Southern Illinois; Health plans for Businesses, Families, and Individuals
Provides Surety and Fidelity Bonds Throughout all of the United States; One of the Largest Surety Companies in the U.S.; Financial Strength "A" Rating
Personalized Service through Independent Agencies in More than 40 States; Currently Holds "A-" (Excellent) Rating; Business, Personal, and Life Insurance Plans
Wide Range of Specialty Insurance Products; Licensed in all 50 States; "A" Reputation
Specialize in Retirement Income Protection, Life and Long Term Care Insurance, Financial Advisory Services, and Securing Homeownership; "A" Reputation
Insurance and Financial Management Services; Broad Commercial Coverage; Employee Health and Retirement Plans
Information and Make a Payment
Philadelphia Insurance Companies
Holds #1 Spot on Keynote Systems Q2 2011 Insurance Carrier Scorecard; One of the Largest Auto Insurance Groups in the U.S.
Insurance Products Ranging from Auto and Home to Umbrella; Claim Services Available 24/7; Fifth Largest Property and Casualty Insurance Company in the Country
One of the Nation's Largest Property Casualty Companies; Offer Insurance Products in Personal, Business, Financial, and International Groups
United Health Care
Products and Services Reaching Approximately 70 Million Americans; Ranks No. 1 in Claim Accuracy Among National Insurers; Family, Individual, and Commercial Health Plans
West Coast Life Insurance Co.
WHAT TO DO IF YOU HAVE A CLAIM
Q. I've been in an AUTO accident – what now?
A. Call us at 636-391-0700. Email any pictures to CLH at email@example.com.
If after hours, the message machine has an emergency number if needed or you can call your insurance Company direct. We will need to know:
·When the accident occurred
·Where the accident occurred (be as specific as possible)
·How the accident happened
·What kind of vehicle or vehicles were involved (include the year, make, model)
·A description of the damage on each vehicle. Drivable?
·Was your car towed and to where?
·The names and contact information of people involved in the accident
·The extent of any injuries to people involved in the accident
·The names and contact information of anyone who witnessed the accident
·The name of the law enforcement agency that responded and the police report number, if police were contacted
Q. I have damage to my PROPERTY-what now?
A. Call us at 636-391-0700 Email any pictures to firstname.lastname@example.org.
If after hours, the message machine has an emergency number if needed or you can call your insurance carrier direct.
We will need to know your contact information and the best time to reach you. Then:
·When the incident occurred.
·A general description of what happened.
·The location of the damaged property and what was damaged.
·The condition of the home and if it is still livable.
·If temporary repairs are needed.
·If the fire or police department was contacted, which department responded and any report number.
Q. Do I need to protect my HOME from further damage?
A. Yes, once it is safe to do so, it is your responsibility to protect your property from further damage.
Email any pictures before making any changes to email@example.com.
·Arrange for reasonable temporary repairs such as boarding up broken windows, covering the roof, and removing debris.
·Keep a list of any temporary repairs you make to document the damage, and make sure to save your receipts.
·If possible, place damaged items in a secure area where they can be inspected. If you are unsure about an item, include it with the damaged property.
·If you have fire or smoke damage, do not try to clean the damaged items. Sometimes cleaning things without the proper equipment can cause more damage.
*** If you are on our App, you can choose to turn in claim info and pictures online.
After Hours- To call your Company Direct:
Claim Phone numbers:
Allied Insurance/ Nationwide
Brotherhood Mutual Insurance
Employers Mutual Company (EMC)
Lititz Mutual Insurance
Missouri Employer's Mutual
Missouri Fair Plan
Traveler's Boat/ Yacht
West Bend NSI