Claim Forms

*******Please check your plan insurance company before choosing the claim form.  Different plans have different forms and mailing addresses.******

If you need help finding or submitting a claim form please use the "Chat Now" feature below to chat with a representative or contact us at 888-301-9289





If the insurer on your plan is GBG Insurance Limited and your plan name is Safe Travels 

International, International Cost Saver, USA, USA Cost Saver, Comprehensive, Multinational, USPHL

Use these claim forms:

Medical Expenses Reimbursement 

Local Burial 


Trip Cancellation, Interruption or Lost Checked Baggage

Accidental Death and Dismemberment 


If the insurer on your plan is Nationwide - and your plan name is Safe Travels 

Single Trip, First Class, 3-in-1, Annual, Outbound, One10, Alumni
Use these forms:


Dog Tag Plans Claim forms can be found  at