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Below are links to claim forms for the many membership levels and insurance plans offered by Health Insurance Innovations (HII). Click the download button for the appropriate plan and complete all required information prior to submitting. Should you have any questions, contact HII’s Member Support at 1-877-376-5831.
SHORT TERM MEDICAL
1st Med STM
Including Secured Care STM
Underwritten by: Companion Life Insurance Company
⇒ Download Claim Form

Med Plus STM
Including Essential STM, Collegiate Sports STM and Med Plus – EDU STM
Underwritten by: Starr Indemnity and Liability Company
⇒ Download Claim Form

Sensible Med STM
Underwritten by: Markel Insurance Company
Claim form is not needed for this plan.
For Policies written prior to 8/1/13:
Send claims to: Co-Ordinated Benefit Plans, P.O. Box 21944, Eagan, MN 55121
For policies written 8/1/13 and after:
Send claims to: Health Special Risk, Inc, 4100 Medical Parkway, Carrollton, TX 75007
ACCIDENT, SICKNESS & HOSPITAL PLANS
Freedom Access
Underwritten by: Freedom Life Insurance Company of America and National Foundation Life Insurance Company
Freedom Life Insurance Company of America (in the states of: AL, AR, AZ, CO, DE, FL, GA, IA, IL, IN, KY, LA, MI, MO, MS, NE, NV, OH, OK, PA, SC, TN, TX, VA, WV and WY)
⇒ Download Claim Form
National Foundation Life Insurance Company (in the states of CA, DC and MT)
⇒ Download Claim Form

Platinum Health Essential
Underwritten by: United States Fire Insurance Company
⇒ Download Claim Form