Service and claims

Individual Health & Dental Claim forms

To make a claim on your HealthProtect or Health Protect Plus Plan, please print and complete the appropriate claim form and mail the form to the address provided on page two.

CBIA EHC HealthProtect Health Care Claim Form

CBIA Dental HealthProtect Dental Claim Form

 

To make a claim on your HealthProtect Retiree Plan, please print and complete the appropriate claim form and mail the form to the address provided on page two.

HealthProtect Retiree Health Care Claim Form

HealthProtect Retiree Dental Claim Form