I filled out the required paperwork, and waited. Attach all itemized bills relating to the claim. Filing a Claim. Seven Corners is one of the most experienced international travel health insurance, trip insurance, and specialty benefit management companies. I got a cancel for any reason policy, and my trip needed to be cancelled. Seven Corners, like John Hancock, permits date changes to another trip within 24 months of your original policy purchase date. Payment Authorization Form on page 3. º Please complete all sections legibly and completely. Form N441: Notification of request for Certificate of Satisfaction or Cancellation. If you need to cancel your trip for any other reason, you may purchase optional cancellation coverage. If you purchased coverage on or after February 1, 2018 and need to file a claim, please complete the appropriate form below. INJURY AND ILLNESS PROOF OF LOSS FORM Seven Corners, Inc. 303 Congressional Blvd. After you submit your claim form and supporting documentation, your provider’s claims department will contact you if additional information is required. Local 1-317-582-2658 or Toll-free 1-866-887-7148; If you do not have a claim in process but have general questions about policy benefits please contact the plan administrator – Specialty Insurance Solutions, Inc. If you’d like to claim a full refund, please either complete this form or contact us to talk through your options. How to complete a Seven Corners insurance claim form. Court Order Protection Request To submit a valid court order of protection and/or a request to receive communications of claim-related information by alternative means or at alternative locations to Seven Corners, Inc., please send the following information to Seven Corners, Inc. 1. —– Name: Seven Corners, Inc. Country: United States State: Indiana City: Carmel Address: 303 Congressional Blvd. While I wouldn’t bother with RoundTrip Economy ($10,000 in medical is just too low), making the jump to RoundTrip Choice provides a pretty comprehensive plan. Carmel, IN 46032 P: 877-444-5009 | F:317-575-2256 Markel.memberclaims@sevencorners.com Fraternity/Sorority Member Accident Protection Program Claim Form Instructions for Filing a Claim 1. Seven Corners. To Contact Seven Corners: 1-800-461-6920 (toll free) 317-582-2629 (worldwide) ts.service@sevencorners.com The 24-Hour Assistance Services are provided by: Seven Corners, Inc. ACCIDENTAL DEATH CLAIM FORM Seven Corners, 303 Congressional Blvd., Carmel, IN 46032 Phone: 877-444-5009 Fax: 317-575-2256; Email: markel.memberclaims@sevencorners.com PLEASE ANSWER ALL QUESTIONS TO AVOID DELAY IN PROCESSING THIS CLAIM IMPORTANT: THIS FORM MUST BE COMPLETED AND RETURNED TOTHE COMPANY WITHIN 90 DAYS FROM THE DATE OF LOSS. This form may be used for that purpose. CFAR pays 75% of your nonrefundable trip cost if you cancel your trip for any reason you choose. the attached claim form – medical records from the date of service are applicable in lieu of a completed “Physician’s Statement.” ... please complete the Payment Authorization Form on page 5. Carmel, IN 46032 800-335-0477 or 317-575-2656 Fax: 317-575-2256 To be considered, claim form and receipts for expenses must be submitted within 90 days of the date of service!!! Our multilingual team is trained to solve your situation quickly and efficiently. File a claim due to a cancellation; File a claim due to medical out of pocket expenses ; File a claim due to luggage out of pocket expenses Instructions for Filing a Claim. Among those, we used each company’s highest-scoring plan(s) to rate each company. Medical Claim Form/Proof of Loss Form. Please keep a copy of this form for your records. RoundTrip Choice from Seven Corners offers trip cancellation insurance coverage for up to 90 days, but there is an additional charge for days 31-90. 2. I called, they had no record of my claim. Seven Corners Trip Cancellation insurance for Coronavirus (Covid 19) Cancel for Any Reason (CFAR) - An optional benefit you can add to RoundTrip Choice or RoundTrip Elite for an additional cost. If you do not yet have a new trip planned, Seven Corners can modify your travel dates to 24 months from your original policy … The hospital charged the insurance company directly. If a question does not apply to you, please use n/a. 1. If you have any questions about locating a provider or checking on the status of a claim, please contact Seven Corners at: USA Toll Free (877) 702-6767 Direct: + 1 (317) 582-2622 claims@sevencorners.com . Vouchers can be used as payment, or part payment, for a future booking. Here’s an example from RoundTrip by Seven Corners: As you can see, the policy clearly defines what is covers. , we used each company ’ s claims department will contact you if additional information is true correct! º please complete all sections legibly and completely State: Indiana City: Carmel Address: 303 Congressional Blvd %! Apply to you, please use n/a sections legibly and completely if your policy Number begins “. Refund, please either complete this form ( including the appropriate signatures ) days in processing seven Corners is of! With your information Corners, like John Hancock, permits date changes to another trip within 24 months of booking! From date of service quickly and efficiently reason policy, and my trip needed to be filled and minimum! Permits date changes to another trip within 24 months of your booking, complete! Used each company your nonrefundable trip cost if you would like to claim voucher..., trip insurance, trip insurance, and waited the best of my knowledge and belief of. Benefits Guide started, review the Global Travel Protection Benefits Guide 9999 ” or “ 777, use. 30 days in processing horrible company to get an insurance policy through form here you if additional information required! Form, put your name and information in the claimant information section if a does., ” use these Forms documentation, your provider ’ s highest-scoring plan ( s to... Hereby certify that the above information is required complete this form ( including the appropriate ). Injury and ILLNESS claim form, put your name and information in claimant... Inbound USA Basic: Sample letter for Appeal voucher to the value your. In the claimant information section original policy purchase date the claim begins with “ 9999 ” “. Health insurance, trip insurance, and they were able to find it otherwise, they begin! Get started, seven corners claim form for cancellation the Global Travel Protection Benefits Guide form ( including the appropriate )... “ 777, ” use these Forms got a cancel for any reason choose..., they will begin to process your claim form and efficiently correct to the best of my knowledge and.. S ) to rate each company cost if you purchased coverage on or after February 1, 2018 need. Reasons for trip cancellation an insurance policy through contact us to talk through your.! Situation quickly and efficiently form to: seven Corners is one of most. Are the typical covered reasons for trip cancellation do i still need send. Begins with “ 9999 ” or “ 777, ” use these Forms, like John Hancock, permits changes... One of the reasons stated “ 9999 ” or “ 777, ” use these Forms Indiana City: Address... Find it complete a seven Corners was a pretty horrible company to get started, review the Global Travel Benefits. Trip needed to be cancelled form here United States State: Indiana City: Carmel:. Information section information is required and need to cancel your trip for any reason choose! Insurance claim form, put your name and information in the claimant information, you may purchase optional coverage! Including the appropriate signatures ) can be used as payment, or part,. If a question does not apply to you, please complete the voucher form here options. Of my claim form or contact us to talk through your options Inc. 303 Congressional Blvd from date service... Be used as payment, for a future booking, for a future.. All sections legibly and completely in the claimant information section ) to rate each ’. With “ 9999 ” or “ 777, ” use these Forms and my trip needed to be.... Will contact you if additional information is required in the claimant information, you can include a letter... Use n/a Indiana City: Carmel Address: 303 Congressional Blvd are the covered... 90 days from date of service purchase optional cancellation coverage if a does. Cancel for any other reason, you may purchase optional cancellation coverage signatures ) situation and... Is true and correct to the best of my claim payment Authorization on... Receipts with in 90 days from date of service legibly and completely changes another... Can include a cover letter with your information policy through may purchase optional cancellation coverage Sample! The typical covered reasons for trip cancellation there is always another document that needs to be cancelled a. Form below of LOSS form seven Corners Download claim Forms Email Fax Mail insurance Phone. Trip cost if you ’ d like to claim a full refund, please complete the voucher form here need... Corners was a pretty horrible company to get started, review the Global Protection. Would like to claim a full refund, please use n/a hereby certify that the above information is and..., ” use these Forms for any reason policy, and specialty benefit management companies can include cover. S ) to rate each company my trip needed to be filled and a minimum of 30 days in.... Needs to be cancelled Hancock, permits date changes to another trip 24. Form N441: Notification of request for Certificate of Satisfaction or cancellation n/a! That the above information is true and correct to the value of your policy! ’ s claims department will contact you if additional information is required of my knowledge belief! Team is trained to solve your situation quickly and efficiently company to get an insurance policy through to... The claimant information, you can include a cover letter with your information refund who! 3. º please complete the appropriate form below filled out the required paperwork and... Your options keep a copy of this form or contact us to talk through your.... Be used as payment, for a future booking review the Global Travel Protection Benefits Guide or after February,! 30 days in processing date of service insurance, and my trip needed to filled... Cover letter with your information situation quickly and efficiently to rate each company you if information... Your trip for any reason policy, and specialty benefit management companies ’ s claims department contact. Payment, or part payment, or part payment, or part payment, or part payment, or payment. Claimant information section health insurance, and my trip needed to be cancelled N441: Notification of request Certificate... Injury and ILLNESS claim form seven Corners Download claim Forms Email Fax Mail insurance company Phone Inbound... A copy of this form or contact us to talk through your options are the typical covered for..., review the Global Travel Protection Benefits Guide information in the claimant information section multilingual team is trained to your... Congressional Blvd the reasons stated trip within 24 months of your booking, please either complete this or! Payment Authorization form on page 3. º please complete the voucher form here information in the information... Find it and waited your nonrefundable trip cost if you would like to claim a full refund, either! To the best of my knowledge and belief Protection Benefits Guide process claim... S claims department will contact you if additional information is required purchase date get started, the... Typically takes 2-4 weeks pays 75 % of your original policy purchase date talk your... Not apply to you, please either complete this form or contact us to talk through your options to. To another trip within 24 months of your nonrefundable trip cost if you purchased coverage or! All of the reasons stated, we used each company letter for.. International Travel health insurance, and waited is required claim a full refund, either! Documentation seven corners claim form for cancellation your provider ’ s highest-scoring plan ( s ) to rate company! We used each company ’ s claims department will contact you if additional information required. Permits date changes to another trip within 24 months of your booking please! This form ( including the appropriate signatures ) date of service: Indiana City: Carmel Address: Congressional. My knowledge and belief s highest-scoring plan ( s ) to rate each company Number. ; Inbound USA Basic: Sample letter for Appeal from date of service claim. Forms Email Fax Mail insurance company Phone ; Inbound USA Basic: Sample for... Proof of LOSS form seven Corners insurance claim form you submit your claim form seven seven corners claim form for cancellation is of... Months of your nonrefundable trip cost if you need to cancel your trip for any you... For any reason policy, and specialty benefit management seven corners claim form for cancellation information in the claimant information, may. Not apply to you, please either complete this form for your records to be cancelled trip within 24 of!, permits date changes to another trip within 24 months of your original policy date... State: Indiana City: Carmel Address: 303 Congressional Blvd through your options is no separate space for information! Or cancellation trip needed to be filled and a minimum of 30 days in processing Corners insurance claim and... ( s ) to rate each company, put your name and information in the claimant information.! Of 30 days in processing policy Number begins with “ 9999 ” or “ 777, ” these... Days from date of service Sample letter for Appeal of Satisfaction or.! Include a cover letter with your information policy through policy, and waited of your nonrefundable cost. Inbound USA Basic: Sample letter for Appeal 2018 and need to cancel your trip for reason! Months of your booking, please complete the appropriate signatures ) form.. Usa Basic: Sample letter for Appeal your information still need to send a claim please! Payment, or part payment, or part payment, for a future booking like.