File a claim

New York policyholders find claim forms here.

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.

Notice:

As part of our ongoing efforts to provide the very best in customer service, Trustmark Voluntary Benefit Solutions is introducing a new claim form that must be completed to claim benefits under a Wellness, Health Screening, or Healthy Living Rider. If a claim is submitted for benefits without this form, claims processing may be delayed and/or the claim may not be accepted.

The use of this form is part of an improved claims process that will help us expedite the turnaround time on claims handling, providing benefits to our customers faster.

Life insurance

Download a PDF claim form for:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Life Claims
P.O. Box 60676
Worcester, MA 01606

Contact us.

Critical illness and cancer

Download a PDF claim form for:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: CACI/CLE Claims
P.O. Box 60676
Worcester, MA 01606


For a Health Screening Rider claim, please send the following to Trustmark:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Rider Claims
P.O. Box 60676
Worcester, MA. 01606

Trustmark Critical LifeEvents®

Download a PDF claim form for:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: CACI/CLE Claims
P.O. Box 60676
Worcester, MA 01606

For a Healthy Living Rider claim, please send the following to Trustmark:

Please submit claim documentation using any of the following:

  • Fax: 508.471.3207
  • email: CriticalLifeEventsClaims@Trustmarkins.com
  • Mail:

Trustmark Insurance Company
Attn: Healthy Living Rider Claims
P.O. Box 60676
Worcester, MA. 01606

Accident

Download a PDF claim form for:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Accident Claims
P.O. Box 60676
Worcester, MA. 01606

For a Wellness Rider claim, please send the following to Trustmark:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Rider Claims
P.O. Box 60676
Worcester, MA. 01606

For a Health Screening Rider claim (only available on plans 4, 5 and 6), please send the following to Trustmark:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Rider Claims
P.O. Box 60676
Worcester, MA. 01606

Disability

Download the appropriate PDF claim form for disability insurance.

If your disability is related to pregnancy – regardless of where you purchased your disability insurance, use this claim form:

If you purchased Disability insurance from a representative at your place of employment, use this claim form:

For continuing claims, use this claim form:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Disability Claims
P.O. Box 60676
Worcester, MA 01606

Contact us.

Dental

Download a PDF claim form for:

Contact us.

Hospital confinement

Download a PDF claim form for:

Please submit claim documentation using any of the following:

Trustmark Insurance Company
Attn: Hospital Claims
P.O. Box 60676
Worcester, MA. 01606

Contact us.