Policyholder Resources

Increase Coverage
Increases to existing coverage are allowed at anytime

Increases to existing coverage are allowed at anytime. 

Visit the Apply Now section of this website and follow the instructions to access the online application and complete a new application subject to full underwriting. New policy will stack on top of the existing policy.

Decrease Coverage
Decreases to existing coverage are allowed at anytime

Decreases to existing coverage are allowed at anytime. 

To decrease coverage, complete the Request for Service Form and submit via secure file upload here.

Cancel Coverage
Cancellations are allowed at anytime

Cancellations are allowed at anytime. 

To cancel coverage, complete the Request for Service Form and submit via secure file upload here.

Beneficiary Change
Update your Beneficiary

Complete the Beneficiary Change Form and submit via secure file upload here.

Tobacco Status Change
Update your Tobacco Status
Duplicate Copy of Policy
Request a duplicate copy of policy documents

Complete the Request Duplicate Certificate Section of the Request for Service Form and submit via secure file upload here.

Address Change
Complete the form to request an address change

Complete the Address Change Section of the Request for Service Form and submit via secure file upload here.

Name Change
Please complete the form to request a name change

Complete the Name Change Section of the Request for Service Form and submit via secure file upload here.

Direct Bill Form (ACH)
For use by policyholders who are currently on direct billing via monthly automatic payment

For use by policyholders who are currently on direct billing via monthly automatic payment with Chubb and need to make one of the following changes.

  • Change bank account
  • Need to correct bank account
  • Change the date of their withdrawal

Complete the Authorization for Deductions from My Bank Account Form and submit via secure file upload here.

File a Claim

Via Phone: A customer service specialist can help you file your claim and answer claims-related questions you may have. Call: 1-855-241-9891

Via E-mail: E-mail a claims service specialist at claims@gotoservice.chubb.com to start the claim filling process.

Via Paper: After requesting forms be mailed to you, you can file a claim by mailing the completed paperwork to:

Mail: Chubb, Claim Admin Office, One Integrity Parkway, Cleveland, OH 44143-1500

Fax: 1-603-352-1179

We're Here to Help

Licensed long-term care specialists are available to assist you in understanding the plan and rates.

Call (877) 286-2852