Report a Claim

Your Chubb Workplace Benefits Policy: Reporting a Claim

If you suffered a workplace accident or injury that resulted in a disability or loss of time on the job, or you are an eligible beneficiary, the Chubb Workplace Benefits Policy can help you get through this difficult time. Rest assured that our team will do everything to get your claim resolved as quickly and seamlessly as possible.

Report Your Claim

To file a claim under this policy, please choose the claims reporting option below that best suits your needs. Please have your policy number, the date and address where the injury took place, as well as information about any other individuals involved. Remember, the more details you provide, the better able we are to guide you through your claim experience.

Online: Online Application (You will be redirected to a site administered by Combined Insurance. Don’t worry, you’re in the right place.)
Phone: New York State Residents 1.866.445.8874             
             Residents of all other U.S. states 1.866.619.2557                
Fax:     Download forms below and fax completed forms to: 1.312.351.6930
Email:  Click here
Mail:
     Download forms below and mail completed forms to:
              Chubb Workplace Benefits Claim Department
              P.O. Box 670
              Scranton, PA 18505-0700

Your Local Agent: Contact your agent or broker who can submit a claim on your behalf.

Accident and Health Claims Forms
New York State Residents (English): Download Claim Form
Residentes del Estado de Nueva York (Español): Descarga Afirma Forma
All U.S. (except New York State): Download Claim Form
Todo Estados Unidos (menos el Estado de Nueva York, Español): Descarga Afirma Forma

Life Insurance Claims Forms
New York State Residents (English): Download Claim Form 
Residentes del Estado de Nueva York (Español): Descarga Afirma Forma  
All U.S. (except New York State): Download Claim Form 
Todo Estados Unidos (menos el Estado de Nueva York, Español): Descarga Afirma Forma

Still have a question?

If you have additional questions, click here to go to our Combined Insurance Page.

Product availability and benefits may vary by state. Products are underwritten by Combined Insurance Company of America, ACE American Insurance Company or Fidelity Life Association. In New York, products are underwritten by Combined Life Insurance Company of New York (Latham, NY). Combined Insurance Company of America is not licensed and does not solicit business in the state of New York.