Safeguard your medical plans, amplify your protection.
Please complete the following form(s) as needed per the Claims Kit Guidelines below. Upon completion, please send by email to the attention of our Claims Team using the corresponding “submit” button indicated. Someone will be in touch with you as soon as possible.
Claim Guidelines
The Claims Kit emphasizes the importance of consistent and effective communication between the Claims Administrator for a Benefit Plan and One80 Intermediaries. In the kit there is information on the One80 Medical Stop Loss Claims Team and procedures for submitting a Specific or Aggregate Excess Loss Claim for reimbursement.
Thank you for placing your trust in One80 Intermediaries. Our medical stop loss claims team is here to help.
For any additional inquiries please contact us.
Contact our dedicated claims telephone number at:
610-566-1666
Email us at:
ESLClaims@one80.com
1. Please download and complete the desired pdf claim form(s):
Claim Forms
Financial ACH’s
2. Email the completed claim form(s) to the address below: