Massachusetts Insurance Form

Below you ll find many useful forms conveniently available for download.

Massachusetts insurance form. Five star agency designation. All massachusetts financial institution and insurance company tax forms are in pdf format. These documents have been added for your convenience and may be viewed downloaded and printed at any time. Maia s question of the day is a great resource for agents across massachusetts to ask and receive answers to questions on a daily basis.

To read them you ll need the free adobe acrobat reader. You can fill out the form save it and print it. Completed forms may be returned to us via fax email or postal service. To report a new claim please submit the report a claim form under the quick links below.

For your convenience we have listed below an assortment of insurance forms commonly needed to handle claims and insurance related requests. 857 368 8000 if you re. To report a new claim by phone during regular business hours please call 617 723 3800 or 1 800 392 6108 ma or 1 800 851 8978 usa. Calling from area codes 339 617 781 or 857.

800 858 3926 if you re calling from any other ma area code. You can fill out the form save it and print it. Outside the state of massachusetts. Download the pdf version of a form by selecting the appropriate link.

You can then fax it to. If you can t find the form you need or have questions about filling out a form call the ma rmv at. The 1099 hc form is a massachusetts tax document which provides proof of health insurance coverage for massachusetts residents. 1095 b tax form all employees and non medicare retirees and survivors who have gic health insurance coverage receive a 1095 b form each year.

If you have any suggestions or comments on how to improve these forms contact the forms manager at dorforms dor state ma us. Browse our insurance forms library. Personal lines insurance forms massachusetts motor vehicle insurance application flood insurance application watercraft application ballpark request form homeowners insurance application. Every commonwealth of massachusetts resident who has health insurance will receive a 1099 hc form.

You can then mail it to. File an insurance complaint file a complaint against an auto damage appraiser appeal an at fault motor vehicle accident or a decision of the registrar of motor vehicles. This form is provided by your health insurance carrier and not the gic. To report an emergency claim during non business hours please call 1 800 297 3554 and follow the instructions.

Here s what you need to know.