How to file Accident Insurance Claims

What the Newspaper Must Do

The Newspaper starts the Claim filing process by completing the following steps prior to issuing a Claim Form to an Independent Contractor:

1. Complete Part 3: Enrollment Verification.
2. Provide the Independent Contractor with a copy of their billing statement or check disbursement showing evidence that premium was paid covering the date of accident.
3. If an accident is reported On-Route, the Newspaper must complete the Special On-Route Accident Report Form and obtain an authorized signature on the Letter of Recommendation section of the page.
4. Provide all these items to the Independent Contractor immediately.

What the Independent Contractor Must Do

The Independent Contractor is responsible for completing the Claim filing process by following these steps:

1. Complete Part 1, Part 2, and have the attending physician complete Part 4 of the Claim Form.
2. Provide itemized bills for all services rendered.
3. If the accident involved an auto accident, attach a copy of the police report.
4. Mail the completed Claim Form and all required information to the insurance company within 90 days from the date of accident:

Aegis Security Insurance Company
Accident Claims Department
PO BOX 61140
Harrisburg, PA 17106-1140

If address on Claim Form differs from the address above, mail to the address listed above.

The insurance company must receive a properly completed Claim Form within 90-days from the date of accident or your Claim will automatically be denied.

DO NOT WAIT FOR ALL BILLS TO ARRIVE BEFORE FILING. FILE YOUR CLAIM WITHIN 90-DAYS AND FORWARD ADDITIONAL BILLS TO THE INSURANCE COMPANY AS THEY ARE RECEIVED.