Get Excess Major Medical - American Bar Endowment - Abendowment

This guide provides clear and concise instructions for completing the Excess Major Medical claim form from the American Bar Endowment. Whether you are new to insurance claims or have experience, you will find the steps outlined here straightforward and helpful.

Follow the steps to accurately complete your claim form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by fully completing all pages of the claim form, ensuring that you include your name, social security number, and policy number. Clearly print each field to maintain legibility.
3. Provide your address, city, state, and phone number. Additionally, indicate your date of birth and marital status. If applicable, include your spouse's name and their date of birth.
4. Next, fill in the patient's information for whom the claim is being submitted, including their relationship to you, address, sex, and date of birth.
5. Detail the nature of the sickness or injury, including dating the first treatment, and indicate if the condition is related to employment or an auto accident.
6. Complete the information regarding hospital stays or treating physicians, including their addresses and phone numbers.
7. Indicate any other insurance coverages you or the patient may have, providing policy numbers and insurance company names as necessary.
8. Sign and date the form to confirm the information provided is accurate and complete before submission.
9. Attach all necessary documentation including itemized bills from healthcare providers, corresponding payment receipts from other carriers, and explanation of benefits.
10. Mail the completed claim form and all attachments to The United States Life Insurance Company at the provided address.

Complete your Excess Major Medical claim form online today for efficient processing of your benefits.