Claims Information

Use the appropriate forms below to file a claim. Or contact the claims office with questions.

Contact the Claims office at:

Administrative Concepts, Inc. (ACI)
994 Old Eagle School Road
Suite 1005
Wayne, PA 19087-1802

Telephone: 610-293-9229, 888-293-9229
Fax: 610-293-9299

aciclaims@visit-aci.com

ACI Claim Status - Create a personal account to monitor the status of your claim.

Accident and Sickness (Medical Expense) Claims

Forms will open a new window.

Claim Form

Instructions

HIPAA Privacy Release Form

 

Additional Claim Forms

Forms will open a new window.

Trip Cancellation / Interruption Claims Instructions

Trip Cancellation / Interruption Claims

Lost Baggage, Personal Property Claims

Personal Liability Claims

Loss by Fire Claims

Motor Vehicle Accident Claims