File a Claim

Oh no, we’re sorry you have to file a claim, but we’ll try to make submitting your claim as easy as possible:

Fill out the correct form by finding the name of your plan on your ID card or email receipt.
Gather all the documents requested on the claim form and submit copies with your signed claim; this will keep your claim running smoothly.
To get started, select your plan:

If you need help, contact us:
(800) 335-0477 toll free
(317) 575-2656 worldwide
(317) 818-2809 collect
claims@sevencorners.com

If you need information on appeals:
Appeal Information

Form	File Online	PDF
Trip Cancellation Claim You were unable to depart on your covered trip.	File Cancellation Online	Download Cancellation
Trip Interruption Claim You started on your trip and then had to return home due to an unforeseen event.		Download Interruption
Baggage Claim My baggage or personal property was lost, stolen, damaged, or delayed. Or, I rented sports equipment on my trip because mine was lost, stolen or damaged.	File Baggage Delay Online	Download Baggage Claim
Medical Claim (Proof of Loss)		Download Medical
Trip Delay and Missed Connection Claim You started your trip and were delayed more than 6 hours by a common carrier (airline, cruise line, etc.) en route to, from, or during your scheduled trip.	File Delay Online	Download Delay
Car Accident Claim I was involved in a car accident while driving a rental car on my trip:		Download Rental Car

Please choose the form that corresponds with your plan and the type of claim you are making. It’s possible that you may have more than one type of claim to file. Choose all appropriate options.
- How do I save a PDF form? »
After we review your claim, we will let you know if you need to submit additional forms:

Untitled Document

Form	Language
Medical Claim (Proof of Loss)	English, Français, Español, Português, 中文, 한국어
Baggage Claim (Proof of Loss)	English, Español
Missed Connection, Baggage Delay, Change fee (for Residents of Colorado, New York, Maryland, or South Dakota)	English
Payment Authorization (Autorizacion de Pago)	English, Español
Personal Disclosure Form (PHI Disclosure Form) This form allows us to discuss protected health information and insurance plan changes with a person you choose. PHI form FAQs	English

Complete and sign the appropriate form from the list.
- How do I save a PDF form? »
Attach required documents.
Submit all of the documents using one of these methods:
- File upload
- Email claims@sevencorners.com
- Fax (+1) 317-575-2256
- Mail Seven Corners, Inc.
  Attn: Claims
  303 Congressional Boulevard
  Carmel, IN 46032 USA

Form	Language
Medical Claim (Proof of Loss)	English, Français, Español, Português, 中文, 한국어
Baggage Claim (Proof of Loss)	English, Español
Payment Authorization (Autorizacion de Pago)	English, Español
Personal Disclosure Form (PHI Disclosure Form) This form allows us to discuss protected health information and insurance plan changes with a person you choose. PHI form FAQs	English

Complete and sign the appropriate form from the list.
- How do I save a PDF form? »
Attach required documents:
- Your passport — we need this to verify your travel history and identity.
- Your visa with entry and exit stamps (for non-U.S. citizens traveling to the United States) — This verifies the primary insured (the person listed first on the student policy) is a student and has a valid J-1, H-3, F-1, M-1, or Q-1 or other similar visa.
- An I-20 or DS-2019 (for non-U.S. citizens traveling to the United States) – These documents list the name of the enrolled student and the institution they are attending. It also outlines the start and end date of educational activity, which may also include OPT status and duration.
Submit all of the documents using one of these methods:
- File upload
- Email claims@sevencorners.com
- Fax (+1) 317-575-2256
- Mail Seven Corners, Inc.
  Attn: Claims
  303 Congressional Boulevard
  Carmel, IN 46032 USA

Collegiate Accident Form	Download Now
Public K-12 Form	Download Now
Private K-12 Form	Download Now
Fraternity & Sorority (MAPP) Form	Download Now

Complete and sign the appropriate form from the list.
- How do I save a PDF form? »
Attach required documents.
Submit all of the documents using one of these methods:
- File upload »
- Email claims@sevencorners.com
- Fax (+1) 317-575-2256
- Mail Seven Corners, Inc.
  Attn: Claims
  303 Congressional Boulevard
  Carmel, IN 46032 USA

Medical Claim Form

Complete and sign the appropriate form from the list.
- How do I save a PDF form? »
Attach required documents.
Submit all of the documents using one of these methods:
- File upload »
- Email ichip.claims@sevencorners.com
- Fax (+1) 317-575-2256
- Mail Seven Corners, Inc.
  Attn: Claims
  303 Congressional Boulevard
  Carmel, IN 46032 USA