Community Orientation

Medical Claim Procedures

To request reimbursement for expenses, you will need a copy of the medical insurance claim form. This claim form must be completed in full, and submitted to the claim office with complete documentation.  On the top of the form, you must include  the group insurance company name and policy number listed below: Combined Insurance Company of America. The policy number is GLB 9709600 (0810-2539) (06). 

Claim Procedures:
In the event of an injury or sickness, the insured person should:

1. Consult a doctor and follow his/her advice.
2. Submit your insurance claim form within 30 days of the accident or illness.
3. Complete the claim form in full with all the related information requested regarding your illness. Make sure to sign and date the claim form.
4. Attach all bills from the accident or illness, and any paperwork from your doctor, the hospital and/or other insurance companies. 

For prescription drug claims, attach the itemized doctor/hospital bill along with the receipt from the pharmacy for the drug, along with the name/description of drug. 

Mail Claim Form to: 
AMA and Associates

P.O. Box 659570

San Antonio, Texas 78265-9570

Telephone: 1-800-456-7480

Fax: 1-210-822-4113

Local Office: 
Westpoint Insurance Company
5625 West 79th Street
Burbank, IL 60459
(800) 318-7709
Fax (708) 636-3915
E-mail: terri@westpointinsurance.com