Required Claim Documents
Your claim is important to us, so help us help you!
By providing the information requested, you will accelerate the resolution of your claim. To assist
in the claim process, the following guidelines detail the information needed to include with the
claim form
to process your claim.
Required General Information
- Plan Code
- Property Management company name and phone number (or company that booked your vacation)
- Booking, Reservation or Invoice number
- Travel dates
- Date insurance was purchased, date and amount of premium payment
- Date of loss
Additional Required Information:
Baggage Delay
What you should provide:
- Documentation from the carrier regarding the delay and length of time your baggage was delayed
- An itemized listing of all emergency purchases
- Receipts and proof of payment for all emergency purchases
Trip Cancellation - Sickness
What you should provide:
- A signed Patient Authorization form
Beginning April 14, 2003, new regulations under HIPAA (Health Information Portability and Accountability
Act) were enacted. A signed Patient Authorization is required nationwide by doctors' offices, hospitals
and other health care providers. As a result, we must request that you sign and complete this form
in its entirety. Failure to do so will result in a delay of your claim. - All unused tickets (air, ski lift, vouchers, etc.)
- Actual proof of payment for the trip, such as credit card statements or copies of front and back of cancelled checks. Invoices will not be accepted as actual proof of payment
- Proof of refunds received, such as credit card statements or copies of front of refund checks
What your Vacation Rental Company should provide:
- All invoices and itineraries
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your vacation
What the patient's physician should provide:
- A completed Physician's Statement (Note: Medical records pertaining to the patient's sickness or injury may be requested upon review of the physician's statement)
Trip Cancellation - Death
What you should provide:
- A signed Patient Authorization form
Beginning April 14, 2003, new regulations under HIPAA (Health Information Portability and Accountability
Act) were enacted. A signed Patient Authorization is required nationwide by doctors' offices, hospitals
and other health care providers. As a result, we must request that you sign and complete this form
in its entirety. Failure to do so will result in a delay of your claim.
- A copy of the deceased's death certificate
- All unused tickets (air, ski lift, vouchers, etc.)
- Actual proof of payment for your trip, such as credit card statements or copies of front and back of cancelled checks. Invoices will not be accepted as actual proof of payment.
- Proof of refunds received, such as credit card statements or copies of front of checks
What your Vacation Rental Company should provide:
- All invoices and itineraries
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your trip
What the patient's physician should provide:
- The completed Physician's Statement
Trip Cancellation - Other
What you should provide:
- Proof of your loss such as documentation that will provide dates, circumstances and verification of your loss
- All unused tickets (air, ski lift, vouchers, etc.)
- Actual proof of payment for your trip, such as credit card statements or copies of front and back of cancelled checks. Invoices will not be accepted as actual proof of payment
- Proof of refunds received, such as credit card statements, copies of front of refund checks
What your Vacation Rental Company should provide:
- All invoices and itineraries
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your trip
Travel Delay
What you should provide if you are claiming unused or additional expenses:
- Documentation from the carrier regarding the date, reason for, and length of the delay
- All unused tickets (air, ski lift, vouchers, etc.)
- Actual proof of payment for your trip, such as credit card statements or copies of front and back of cancelled checks
- Proof of refunds received, such as credit card statements or copies of front of refund checks
- Receipts for all additional accommodation expenses incurred, as daily and policy maximum limits apply
- Proof of payment/invoices for additional transportation expenses incurred
What your travel agent should provide if you are claiming unused expenses:
- All invoices and itineraries
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your trip
Trip Interruption - Sickness
What you should provide:
- A signed
Patient Authorization form
Beginning April 14, 2003, new regulations under HIPAA (Health Information Portability and Accountability
Act) were enacted. A signed Patient Authorization is required nationwide by doctors' offices, hospitals
and other health care providers. As a result, we must request that you sign and complete this form
in its entirety. Failure to do so will result in a delay of your claim.
- All unused tickets (air, ski lift, vouchers, etc.)
- Proof of payment and receipts for any additional transportation incurred
- Actual proof of payment for your trip, such as credit card statements or copies of front and back of cancelled checks. Invoices will not be accepted as actual proof of payment.
- Proof of refunds received, such as credit card statements or copies of front of refund checks
What your Vacation Rental Company should provide:
- All invoices and itineraries.
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your trip.
- A separation of the amount paid for the land and air portions of your trip.
What the patient's physician should provide:
- The completed physician's statement provided on your claim form
- All records pertaining to the patient's illness or injury
Trip Interruption - Death
What you or your Vacation Rental Company should provide:
- A completed claim form (all areas).
- A signed
Patient Authorization form
Beginning April 14, 2003, new regulations under HIPAA (Health Information Portability and Accountability
Act) were enacted. A signed Patient Authorization is required nationwide by doctors' offices, hospitals
and other health care providers. As a result, we must request that you sign and complete this form
in its entirety. Failure to do so will result in a delay of your claim.
- A copy of the deceased's death certificate
- All unused tickets (air, lift, etc.)
- Proof of payment and receipts for any additional transportation incurred to return home.
- Proof of payment for your trip (credit card statements or copies of front and backs of cancelled checks; this is imperative to verify the pre-existing waiver.)
- Proof of refunds (credit card statements, copies of front of refund checks)
- All invoices
- All itineraries
- All cancellation policies (schedule of penalties) that applied to your trip
What the patient's physician should provide:
- The completed Physician's Statement provided on your claim form
- All records pertaining to the patient's illness or injury
Trip Interruption - Other
What you or your travel agent should provide:
- Proof of your loss (documentation that will provide dates, circumstances and verification of your loss)
- All unused tickets (ski lift, vouchers, etc)
- Proof of payment and receipts for any additional transportation expenses
- Actual proof of payment for your trip, such as credit card statements or copies of front and back of cancelled checks
- Proof of refunds received, such as credit card statements or copies of front of refund checks
- Documentation of your original travel arrangements (invoices, reservation confirmations and itineraries)
- All invoices and itineraries.
- All carrier and supplier cancellation policies (schedule of penalties) that applied to your trip
- A separation of the amount paid for the land and cruise portions of your trip