Benefit or Claim Inquiries

Please take a moment to fill out the form below
and one of our Benefit Specialists will be in touch shortly.

Full Name

Name of Your Employer

ID # on Front of Your Medical ID Card

Please Check One: * Required

Policyholder

Dependent

Daytime Phone Number

Evening Phone Number

Date of Birth

Email Address

Please Check All That Apply * Required

Claims Payment Question

Enrollment or Eligibility Issue

Service Issue With the Insurance Company

Request for Copies of Forms

Problem With a Paid Claim/Disputed Benefit Payment

Question About Coverage for a Specific Service or Procedure

Request for General Employee Benefit Plan Information

Have You Contacted the Insurance Company Regarding This Issue? * Required

Yes

If Yes, Were They Able to Help You to Your Satisfaction?

Yes

Please describe the details of your inquiry and how Allen Associate's Benefit Specialists can be of help to you. Feel free to attach documents or records that may be pertinent to your inquiry.

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General Inquiries

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Main Office:

630 S. Brewster Rd. Suite C1, Vineland, NJ 08361
Tel: 856-692-2250 / Fax: 856-794-1106

Toll Free: 800.44ALLEN (800-442-5536)

Satellite Offices:

250 Pehle Ave, Suite 200, Saddle Brook, NJ 07663
Tel: 201-291-2663

600 W Germantown Pike, Suite 400, Plymouth Meeting, PA 19462
Tel: 610-940-1744

3120 Fire Rd, Egg Harbor Township, NJ 08234

Allen Associates Insurance Services

630 S. Brewster Rd. Suite C1, Vineland, NJ 08361

Email : info@allenassoc.com

Tel: 856-692-2250 / Fax: 856-794-1106

Toll Free: 800.44ALLEN (800-442-5536)

Advisory services offered through Capital Analysts or Lincoln Investment, Registered Investment Advisers. Securities offered through Lincoln Investment, Broker Dealer, Member FINRA/SIPC. Allen Associates, Lincoln Investment and Capital Analysts are independent, and non-affiliated.

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