Contact Trustmark
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Claims
New York policyholders find claim forms here.
How to File a Claim
To file a claim, simply select the appropriate claim form for your specific product and mail or fax it to us at the address below. It’s that simple.- Download the form.
- Fill it out.
- Send it in.
File a claim for one of the products below. Simply complete the appropriate form, sign and mail or fax it to the address listed below.
Life insurance Critical illness and cancer
Life insurance
Download a PDF claim form for:
- Death
- Long-term care/home healthcare
- Accelerated death benefit (for terminal illness)
- Initial waiver of premium
- Continuance waiver of premium
- Permanent waiver of premium
To:
Trustmark Insurance Company
Attn: Life Claims
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.0310
Critical illness and cancer
Download a PDF claim form for:
For a Health Screening Rider claim, please send Trustmark a copy of the bill that contains:
- Your full name
- The name and address of the facility where the test/procedure was performed
- The specific test/procedure performed
To:
Attn: MAWORKSITE
Trustmark Insurance Company
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.2867
Accident
Download a PDF claim form for:
For a Wellness Benefit claim, please send Trustmark a copy of the bill that contains:
- Your full name
- The name and address of the facility where the test/procedure was performed
- The specific test/procedure performed
To:
Attn: MAWORKSITE
Trustmark Insurance Company
100 North Parkway, Suite 200
Worcester, MA 01605
Fax: 508.853.2867
Disability
Download the appropriate PDF claim form for disability insurance.
- If your disability is related to pregnancy – regardless of where you purchased your disability insurance, use this claim form:
Pregnancy disability claim form - If you purchased Disability insurance from a representative at your place of employment, use this claim form:
Disability insurance - initial claim form - If you purchased Disability insurance someplace other than your place of employment (e.g., credit union), use this claim form:
Disability insurance - initial claim form - Disability insurance - continuing claim form
To:
Attn: Disability Claims
Trustmark Insurance Company
100 North Parkway, Suite 200
Worcester, MA 01605
Initial/new claims fax: 508.853.2757
Existing/continuing claims or information fax: 508.854.7125
Dental
Download a PDF claim form for:
Hospital confinement
Download a PDF claim form for:
