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Limited Accident & Sickness Plan Claims Process

For most* of the benefits under the limited accident & sickness plan, no claim form is required. Simply submit (or have your provider submit) an itemized bill to the Claims Administrator:

Administrative Concepts, Inc. (ACI)
994 Old Eagle School Road, Ste. 1005
Wayne, PA 19087-1802

If you have questions about submitting a claim or the status of an existing claim, call ACI toll-free at 1-800-964-7096.

If ACI has any questions about your claim, they will contact you in writing and request any additional information that may be required in order to process your claim.

*Claim forms are required for accidental death or accidental dismemberment claims. Call ACI toll-free at 1-800-964-7096 to request the appropriate claim form.