Claims Filing Procedures

• Please Fully Complete the Claim Form
• Attach Itemized Bills
• Mail to:    c/o Markel Insurance Company
                 Health Special Risk, Inc.
                 4001 N. Josey Lane
                 Carrolton, TX  75007
                 Phone:  (888) 765-7223
                 Fax:  (972) 492-4946

Director any questions to:  claims @hsri.com

For a claim form click here.

Privacy Authorization Forms (Requires Adobe Acrobat Reader )

Authorized Representative

• Allows an insured to authorize someone to be their representative for receiving or accessing claim information and benefits

Authorization for Disclosure

• Allows an insured to authorize Markel Insurance Company to disclose specified protected health information to another entity

Revocation of Authorization for Disclosure

• Allows an insured to revoke a previous authorization for Markel Insurance Company to disclose specified protected health information to another entity