New York policyholders find claim forms here.

How to File a Claim

To file a claim, simply select the appropriate claim form for your specific product and mail or fax it to us at the address below. It’s that simple.
  1. Download the form.
  2. Fill it out.
  3. Send it in.
 

File a claim for one of the products below. Simply complete the appropriate form, sign and mail or fax it to the address listed below.

Life insurance     Critical illness and cancer 

Accident             Disability 

Dental                Hospital confinement

 

 

 

 

Life insurance

Download a PDF claim form for:

 

To:

Trustmark Insurance Company
Attn: Life Claims
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.0310

Contact us.

 

Critical illness and cancer

Download a PDF claim form for:

For a Health Screening Rider claim, please send Trustmark a copy of the bill that contains:

  • Your full name
  • The name and address of the facility where the test/procedure was performed
  • The specific test/procedure performed

To:
Attn: MAWORKSITE
Trustmark Insurance Company
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.2867

Contact us.

Accident

Download a PDF claim form for:

For a Wellness Benefit claim, please send Trustmark a copy of the bill that contains:

  • Your full name
  • The name and address of the facility where the test/procedure was performed
  • The specific test/procedure performed

To:
Attn: MAWORKSITE
Trustmark Insurance Company
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.2867

Contact us.

Disability

Download the appropriate PDF claim form for disability insurance.

To:
Attn: Disability Claims
Trustmark Insurance Company
100 North Parkway, Suite 200 
Worcester, MA 01605
Initial/new claims fax: 508.853.2757
Existing/continuing claims or information fax: 508.854.7125

Contact us.

Dental

Download a PDF claim form for:

Contact us.

Hospital confinement

Download a PDF claim form for:

Contact us.