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

Check Your ACI Claims Status

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


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

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Call us at (800) 586-0753
between 8am - 5pm, EST
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