Filing a claim is easy!

You will receive a LifeBoat Medical Identification Card and Claim Form once you are approved for insurance. Also, you can download a PDF version of this claim form to print out, by clicking here.

If you don't have Adobe Acrobat to read PDF files, you can either download a free copy here or read the MS Word version.

When you receive treatment, you send the original, itemized bills to our administrator, SRI (see below), within 90 days. Eligible bills are automatically converted from local currencies to US dollars. For payments of eligible medical expenses, notify us of pending treatments and we can refer you to approved health care providers worldwide. You're simply responsible for your deductible, coinsurance amounts and non-eligible expenses. For more details, consult the Program Summary that is provided with your insurance kit.

ADMINISTRATOR INFORMATION:

Specialty Risk International, Inc. (SRI)
9200 Keystone Crossing, Suite 300
Indianapolis, IN USA 46240
Toll free: 800-335-0611 — Phone: 317-575-2652
Fax: 317-575-2659

 

ELIGIBILITY | SCHEDULE OF BENEFITS | RENEWABILITY | EMERGENCY EVAC/REPATRIATION
EMERGENCY REUNION BENEFITS | UTILIZATION MGMT PROGRAM | UNDERWRITING | EXCLUSIONS
Insurance Plan sponsored by Charter Yacht Society of B.V.I.
COPYRIGHT © 2001, KUFFEL, COLLIMORE & CO.
toll free: (877) 335-1234
phone: (630) 221-6000 | fax: (630) 221-1453
E-MAIL: info@lifeboatmedical.com
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