File an Insurance Claim

  • Find the forms you need below.

  • Follow the instructions to complete the forms.

  • Attach all supporting documents as indicated in the instructions.

  • Mail or fax to our office.

    Mailing Address
    Executive Plaza IV, 11350 McCormick Road, Suite 102, Hunt Valley, MD 21031
    To fax claim forms: 1-443-279-2901
    or email:

    For assistance, please call 1-855-762-6252

Claim Forms

Select any form below to download a printable version. These PDF documents are best viewed using Adobe Reader 5.0 or higher.