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Home > Claim Information

Claim Information


Available Claim Forms

To submit a claim use one of the appropriate company links below. If none are available for your particular claim, please contact us directly.

Auto Accident Claim
Commercial Auto Accident Claim
Flood Property Loss Claim Form
Motorcycle Accident Claim
Property Loss Claim Form
Renters Property Loss Claim Form
Watercraft Accident Claim

Allianz Life Insurance Company of North America
Allianz Life Insurance Company of North America

Allianz Life Insurance Company of North America

URL:
http://www.allianzlife.com

Nationwide

Nationwide

Nationwide

URL:
http://www.alliedinsurance.com/

American Collectors Insurance
American Collectors Insurance

American Collectors Insurance

URL:
http://www.americancollectorsins.com

American Medical Security
American Medical Security

American Medical Security

URL:
http://www.eams.com

American Modern Payment Link
American Modern Payment Link

American Modern Payment Link

URL:
http://www.amig.com/manage-policy/payment-options.html

Ameritas Acacia
Ameritas Acacia

Ameritas Acacia

URL:
http://www.ameritas.com

AmerUs Life Insurance
AmerUs Life Insurance

AmerUs Life Insurance

URL:
http://www.ameruslife.com

Anthem Insurance
Anthem Insurance

Anthem Insurance

URL:
http://www.anthem.com/

Assurant Health
Assurant Health

Assurant Health

URL:
http://www.assuranthealth.com

Austin Mutual Insurance Company
Austin Mutual Insurance Company

Austin Mutual Insurance Company

URL:
http://www.austinmutual.com

Auto Owners Insurance
Auto Owners Insurance

Auto Owners Insurance

URL:
https://quote.auto-owners.com?agencyCode=23005700&utm_source=agentsite&utm_medium=banner&utm_campaign=pwq&utm_content=button

Badger Mutual Insurance Company
Badger Mutual Insurance Company

Badger Mutual Insurance Company

URL:
http://www.badgermutual.com

Blue Cross / Blue Shield
Blue Cross / Blue Shield

Blue Cross / Blue Shield

URL:
http://www.bluecross.com

Boston Mutual
Boston Mutual

Boston Mutual

URL:
http://www.bostonmutual.com

Capital Insurance Group
Capital Insurance Group

Capital Insurance Group

URL:
http://www.ciginsurance.com

Capitol Insurance Company
Capitol Insurance Company

Capitol Insurance Company

URL:
http://www.capitolinsurance.com

Capitol Insurance Company
Capitol Insurance Company

Capitol Insurance Company

URL:
https://www.capitolindemnity.com

Celtic Insurance Company
Celtic Insurance Company

Celtic Insurance Company

URL:
http://www.celtic-net.com

Cigna
Cigna

Cigna

URL:
http://www.cigna.com

CNA
CNA

CNA

URL:
http://www.cna.com/

CNA Surety
CNA Surety

CNA Surety

URL:
http://www.cnasurety.com

Conseco
Conseco

Conseco

URL:
http://www.conseco.com

Constitution Life Insurance Company
Constitution Life Insurance Company

Constitution Life Insurance Company

URL:
http://www.constitutionlife.com

Continental General
Continental General

Continental General

URL:
http://www.continentalgeneral.com

Dairyland Insurance Company
Dairyland Insurance Company

Dairyland Insurance Company

URL:
http://www.dairylandauto.com/

Dean Health Plan
Dean Health Plan

Dean Health Plan

URL:
http://www.deancare.com

EMC
EMC

EMC

URL:
https://www.emcins.com

Encompass Insurance
Encompass Insurance

Encompass Insurance

URL:
http://www.encompassinsurance.com

Foremost Payment Link
Foremost Payment Link

Foremost Payment Link

URL:
http://www.foremost.com/payonline/

Fortis
Fortis

Fortis

URL:
http://www.fortis.com

Germantown Mutual Insurance Company
Germantown Mutual Insurance Company

Germantown Mutual Insurance Company

URL:
http://www.gmic.com

Golden Rule Insurance
Golden Rule Insurance

Golden Rule Insurance

URL:
http://www.goldenrule.com

Group Health Cooperative (GHC)
Group Health Cooperative (GHC)

Group Health Cooperative (GHC)

URL:
http://www.ghcscw.com

Guardian Life
Guardian Life

Guardian Life

URL:
http://www.guardianlife.com

Hagerty Insurance
Hagerty Insurance

Hagerty Insurance

URL:
http://www.hagerty.com/qte/quoteinput.aspx?aff=explink&broker=16976

Harleysville Insurance
Harleysville Insurance

Harleysville Insurance

URL:
http://www.harleysvillegroup.com

Hartford Insurance Company
Hartford Insurance Company

Hartford Insurance Company

URL:
http://www.thehartford.com

Humana
Humana

Humana

URL:
http://www.humana.com

Illinois Mutual Disability Insurance
Illinois Mutual Disability Insurance

Illinois Mutual Disability Insurance

URL:
http://di.illinoismutual.com

Liberty Mutual Company

Liberty Mutual Company

Liberty Mutual Company

URL:
http://www.libertymutual.com

Jackson National Life Insurance Company
Jackson National Life Insurance Company

Jackson National Life Insurance Company

URL:
http://www.jnl.com

Jefferson National
Jefferson National

Jefferson National

URL:
http://www.jeffnat.com

Jefferson Pilot Financial
Jefferson Pilot Financial

Jefferson Pilot Financial

URL:
https://www.jpfnet.com/Jpf/Public/home.do?rootFolder=Home&repository=Public

John Alden
John Alden

John Alden

URL:
http://www.jalden.com

John Hancock
John Hancock

John Hancock

URL:
http://www.johnhancock.com

Kemper Insurance
Kemper Insurance

Kemper Insurance

URL:
http://www.kemperinsurance.com

Life Investors
Life Investors

Life Investors

URL:
http://www.lifeinvestors.com

Lincoln Financial Group
Lincoln Financial Group

Lincoln Financial Group

URL:
http://www.lfg.com

Mass Mutual Financial Group
Mass Mutual Financial Group

Mass Mutual Financial Group

URL:
http://www.massmutual.com

Mendota Insurance Co.
Mendota Insurance Co.

Mendota Insurance Co.

URL:
http://www.mendota-insurance.com

Midwest General Agency
Midwest General Agency

Midwest General Agency

URL:
http://www.mgarws.com

Mutual of Omaha
Mutual of Omaha

Mutual of Omaha

URL:
http://www.mutualofomaha.com

Nationwide Insurance
Nationwide Insurance

Nationwide Insurance

URL:
https://www.nationwide.com/

Old Republic Surety Company
Old Republic Surety Company

Old Republic Surety Company

URL:
http://www.orsurety.com

One America
One America

One America

URL:
http://www.oneamerica.com

Physicians Insurance
Physicians Insurance

Physicians Insurance

URL:
http://www.physiciansinsurance.com

Premium Assignment Corp.

Premium Assignment Corp.

Premium Assignment Corp.

URL:
http://www.premiumassignment.com

Principal Financial Group
Principal Financial Group

Principal Financial Group

URL:
http://www.principal.com

Progressive
Progressive

Progressive

URL:
http://www.progressive.com

Protective Life Insurance Co.
Protective Life Insurance Co.

Protective Life Insurance Co.

URL:
http://www.protectivelife.com

Quartz
Quartz

Quartz

URL:
http://www.quartzbenefits.com

Safeco
Safeco

Safeco

URL:
http://www.safeco.com

Security Health Plan
Security Health Plan

Security Health Plan

URL:
http://www.securityhealth.org

Secura Insurance Company
Secura Insurance Company

Secura Insurance Company

URL:
http://secura.net

State Auto Payment Link
State Auto Payment Link

State Auto Payment Link

URL:
https://secure4.billerweb.com/sai/JustPayIt/jpt.do

Transamerica
Transamerica

Transamerica

URL:
http://www.transamerica.com

Travelers
Travelers

Travelers

URL:
http://www.travelers.com/

Unicare Insurance
Unicare Insurance

Unicare Insurance

URL:
http://www.unicare.com/direct/mslp/

United Health Care
United Health Care

United Health Care

URL:
http://www.unitedhealthcare.com

United Property and Casualty Insurance Company
United Property and Casualty Insurance Company

United Property and Casualty Insurance Company

URL:
http://www.upcic.com

Utica First Insurance Company
Utica First Insurance Company

Utica First Insurance Company

URL:
http://www.uticafirst.com

Utica National Insurance Group
Utica National Insurance Group

Utica National Insurance Group

URL:
http://www.uticanational.com

VSP
VSP

VSP

URL:
http://www.vsp.com

West Coast Life Insurance Co.
West Coast Life Insurance Co.

West Coast Life Insurance Co.

URL:
http://www.westcoastlife.com

Western General
Western General

Western General

URL:
http://www.westerngeneral.com

Western Mutual Insurance
Western Mutual Insurance

Western Mutual Insurance

URL:
http://www.westernmutual.com

Western National Insurance Group
Western National Insurance Group

Western National Insurance Group

URL:
http://www.wnins.com

Workers Compensation Fund
Workers Compensation Fund

Workers Compensation Fund

URL:
http://www.wcfgroup.com

WPS
WPS

WPS

URL:
http://www.wpsic.com

World Insurance Services
World Insurance Services

World Insurance Services

URL:
http://www.worldinsurance.com

Zurich Payment Link
Zurich Payment Link

Zurich Payment Link

URL:
https://secure4.billerweb.com/zur/enr.do

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800-747-4472

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119 S. Main Street, Cottage Grove WI 53527

Mailing address:

PO Box 8633

Madison, WI 53708-8633


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