For forms to file claims, see the sections by type of claim below:

Accident and Sickness (Medical Expense) Claims   

    download claim form

    download general claim filing instructions

    HIPPA Privacy Release Form
       (use this form to release information on a claim to an interested third party)

To view your claim status. Click on the ACI logo below:
(You will need to log on and set up a personal account) 

Trip Cancellation / Interruption Claims

     download Trip Cancellation / Interruption Claim Form

Lost Baggage, Personal Property Claims

     download Personal Effects Claim Form

Personal Liability Claims

      download Property Liability Claim Form

Additional Forms as needed

      download Loss by Fire Claim Form

      download Motor Vehicle Accident Claim Form

To contact the claim office:

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