member forms and policy documents

Find claims forms and instructions, limitations and exclusions, and explore state notices.

Member Forms

To file a claim, select the claim form that matches your policy. Send your claim by mail or fax to the mailing address or fax number listed on your claim form.

General Policy Documents

Medicare Supplement Policy Changes

Send your completed form in by emailing or mail directly to Allstate Health Solutions, PO Box 1070, Winston Salem, NC 27102-1020.

State Notices

NatGen Access Exclusions by State

Short Term Medical Limitations & Exclusions by State