Frequently Used Claim Forms

Wellness Benefits:

Assurity Wellness Benefit Instructions & Form

Illinois Mutual Wellness Claim Form

Lincoln Wellness Claim Form

Transamerica Wellness Instructions

Claim Forms:

Assurity Accident Claim Form

Assurity Hospital Indemnity Claim Form

Illinois Mutual Accident Claim Form

Claim forms should be emailed, faxed, or mailed to:

Jade Schweighart

Client Services/Claims Specialist

Email:  jade@waregroupga.com

Fax:  217.954.0348

Mailing address: 3808 W. Springfield Ave. Suite D

Champaign, IL. 61822

For assistance with any other claim or the above forms please contact:

Jade Schweighart

Client Services/Claims Specialist

Email:  jade@waregroupga.com

Phone:  217.607.0742 Ext. 210

Toll free:  855.535.4231

Fax:  217.954.0348