Report a Claim

With regard to my claim(s), whenever possible in order to expedite my claim(s), I (we) wish to receive communications and documents, including electronic delivery of any benefit payment(s) due by check, electronically to my (our) e-mail address(es), rather than by regular postal service. I (we) understand that payment by electronic check is not a funds transfer or automatic deposit, so I (we) will not need to provide personal banking information. I (we) agree that Trip Mate may provide me (us) with communications in electronic format, and Trip Mate is not required to send paper communications to me (us), unless and until I (we) withdraw this consent. I (we) agree to receive status updates via SMS/Text Messaging with the understanding that messaging and data rates may apply. I (we) also understand that in order to Opt Out of the SMS/Text Messaging option at a later time, I (we) must reply STOP to a text message from Trip Mate or contact the Trip Mate office to withdraw consent. I (we) also agree it is my (our) responsibility to provide Trip Mate with true, accurate and complete e-mail address(es), phone number, contact, and other information related to my (our) claim(s), and to maintain and promptly update any changes in this information.