Claim Forms

Below are claim forms for various plans and benefits.  
****Please check your ID card for the claims address before choosing the claim form.   
Sending your claim to the wrong company or using the wrong form is the number one reason for claims that are delayed or denied. 
If you are unsure which form to use, please contact us 888-301-9289 or info@trawickinternational.com

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If the insurer on your plan is Nationwide and the claim address on your plan is: 

Attention: Co-ordinated Benefit Plans, LLC On Behalf of Nationwide Mutual Insurance Company and Affiliated Companies
P.O. Box 26222
Tampa, FL  33623
email: NWTravClaims@cbpinsure.com
Plan names include: Single Trip, First Class, 3in1, Annual, Outbound, OneTen, Alumni
Use these forms:

If the insurer on your plan is GBG Insurance Limited and the claim address on your plan is: 

Plan names include: Safe Travels International, International Cost Saver, USA, USA Cost Saver, Comprehensive, Multinational, USPHL

GBG Administrative Services 
26741 Portola Pkwy Suite 1E #527
Foothill Ranch CA 92610
Or Email: Eclaims@gbg.com

Use these forms:

Dog Tag Plan Claim forms can be found  at https://www.dogtag.com/useful-links/claims/
If you need help finding or submitting a claim form please use the "Chat Now" feature below to chat with a representative.