The Intelligent Insurance Solution

Report A Claim Online


To report a claim, complete the following information.

If you need your account code or policy number, please refer to your customized Report a Claim instructions or call (203) 678-0105. For 24 hour claim reporting by phone or to obtain an alternate method of reporting call (800) 506-2655.

* Required Fields

Account Code: *
Policy Number: *
Date of Injury: *

Month

Day

Year