Services we offer

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DISABILITY

Fill out the top section and give details about your accident or illness. Your supervisor needs to fill out the middle section, and your doctor will need to fill out the bottom section.

Click to download form

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ACCIDENT

After you have completed the forms, you can fax it to the Combined Insurance claims department at the number listed on the claim form. You canalso contact the Combined Insurance claims department and they will help you file it.

Click to download form

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ILLNESS

Contact your area’s Combined Account Executive or our office to get the paperwork needed to make a claim.

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LIFE PLANS

Group Term Life

Contact our office to get the paperwork needed to make a claim.

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LIFE PLANS

Lifetime Benefit Term (Combined)

Contact your area’s Combined Account Executive or our office to get the paperwork needed to make a claim.

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DENTAL

Your Dental provider should file a claim for you. However, if you go to a provider that does not file claims for you, contact your dental insurance or our office to begin filing a claim.

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VISION

Your Vision provider should file a claim for you. However, if you go to a provider that does not file claims for you, contact your vision insurance or our office to begin filing a claim.

contact

1412 Griffin Street East
Dallas, Texas 75215

214-747-6839
214-747-8194
info@dallaspa.org