In most cases, the provider will submit the claim for you.
If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.
Download the claim form below, and send the completed form with all bills and receipts for medical treatment to:
Relation Insurance Administrators
P.O. Box 6040
Agoura Hills, California 91376-6040
Make sure you fill out the form completely so your claim will be processed promptly. Keep copies of all the documents you submit for claims. If you have questions about claims, contact Relation Insurance Administrators at (800) 483-6192 or firstname.lastname@example.org.
Confidential Communication Request
If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.