HIIG Creative Solutions (HCS) Forms
Simply download our forms to begin filing your notifications and claims. The Claim Guide is also available for detailed assistance.
Our forms are available in fillable PDF format and require Adobe Reader (download Adobe Reader) to view. The fillable forms can be opened, completed and saved from your computer. (Internet Explorer works best).
Please continue following the claim submission processes with your respective stop loss provider. As soon as HCS has its new forms and submission addresses, we will notify all TPAs and we’ll update the forms on this page.
For more information about these forms, please visit www.creativeuw.com/resources.
- Aggregate Excess Loss Claim Form – Weekly or Monthly Accommodation
- Aggregate Excess Loss Year End Claim Form
- Potential Specific Excess Loss Notification Form
- Specific Excess Loss Claim Form
HIIG Accident & Health Forms
For more information about these forms, please visit https://hiigah.com/forms/.
- Eligibility Verification Form
- Prospective Claim Notification
- Request for Aggregate Reimbursement
- Request for Specific Excess Loss Reimbursement
Once your form is completed, please submit that to firstname.lastname@example.org or fax it to 610-280-4299. Thank you.