Axa Travel Insurance Form
Travel insurance plans are administered by axa assistance usa inc.
Axa travel insurance form. Review the claim form for supporting documentation required. The insurance benefits in the silver gold and platinum plans are underwritten by nationwide mutual insurance company and affiliated companies columbus ohio. Please contact us to start the claim process and obtain a claim form. Please contact axa for additional information regarding plan features and pricing at ustravel axa assistance us.
Claim forms are made available for all your claim needs. Involved in the claimant s care to discuss and disclose treatment details and discharge arrangements with and to axa insurance pte ltd. Provides innovative insurance solutions for both personal and business needs. In california doing business as axa assistance administrators license number 0h74893.
The adventure travel product is underwritten by united states fire insurance company naic 21113 under policy form series t210. I we agree that a copy of this consent shall. Only for paper submission submit the claim form together with the required supporting documents to us directly or through your insurance consultant. Plans contain insured benefits and non insurance assistance services.
199903512m to expedite your claim please 1 complete this form 2 prepare the relevant documents listed on page three and four and 3 email. Tick if claimant is policy holder. Contact axa assistance usa for any policy and claim questions. Toll free 855 327 1442.