Claims

In the event of either an Injury or a Sickness:

1. Written notice of a claim must be submitted to the address below within thirty (30) days after the date of Injury or commencement
   of Sickness covered by the Policy, or as soon thereafter as is reasonably possible.
2. Send all medical and hospital bills, along with the patient’s name and insured student’s name, address, Social Security number or student ID number and name of the University under which the student is insured, to the address below. A Company claim form is not required for filing a claim.

Cigna
PO Box 188061
Chattanooga, TN 37422-8061
Electronic Payor ID: 62308

Non-Cigna PPO Providers
Wellfleet Group, LLC
dba Wellfleet Administrators, LLC
PO Box 15369
Springfield, MA 01115-5369

Bills should be submitted within ninety (90) days of service. Keep copies of all the documents you submit.

To check the status of your claim, call (877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

Confidential Communication Request

If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Member’s Authorization to Release Information form and send it to the address listed. This form is available below.