Follow the steps to fill out the claims kit packet online.

1. Click ‘Get Form’ button to access the Claims Kit Packet and open it for editing.
2. Locate the ‘Notification Form’ section. Here, you will need to enter details such as the policyholder's name, contract number, and policy year.
3. Fill in the information related to the employee, including their date of birth, employee ID, and the claimant's details, such as their relationship to the employee.
4. Indicate whether the claimant is active, a retiree, or covered under Medicare and complete the corresponding effective dates.
5. Provide the date the claim was incurred and whether subrogation is applicable. If applicable, describe the injury or condition.
6. Enter the primary and secondary diagnosis ICD-10 codes and include any additional comments that may assist in processing the claim.
7. Submit the form electronically to the designated Swiss Re email addresses, ensuring all required documents are attached.
8. After reviewing the information, save any changes, then download or print the filled form for your records and submit it as instructed.

Complete your claims packet online today to ensure timely processing of your claims.