Rely on Our Nine Decades of Emergency Services Claims Experience.

Insurance Claims for Emergency Services Workers, Special Risks & Transportation

With more than 90 years of emergency services experience, Provident has dedicated and caring claims staff who remain committed to timeliness and accuracy while processing your claim. It remains our goal to treat people with the utmost respect and courtesy. Please call our office toll-free at (855) 201-8880 to speak to a claim representative with any questions.

Forms

How Do I File a Claim?

Email: claims@providentins.com
Phone: (855) 201.8880
Fax: (412) 963.0148

Accident & Health First Notice of Claim Forms

If you are filing an Accident & Health claim, please use the appropriate form from the options below.  If you have any questions or concerns regarding the correct form to use, please contact our office by calling (855) 201-8880 and ask to speak to the claims department.

The fields of these forms can be completed online but must be printed and signed prior to being returned to our office. For prompt attention, either email the completed claim form and supporting documentation to the claim department at claims@providentins.com or fax to (412) 963-0148.

If your Provident Accident & Health policy number begins with PRCO, PRNC or PRST, please use the following first notice of claim form:

If your Provident Accident & Health policy number begins with ESO, please make your selection from the two choices below:

FirePlus P&C Claims Information

If you are filing a Property & Casualty claim, please click here.

24-Hour Accidental Death & Dismemberment First Notice of Claim Forms

If you are filing a 24-Hour Accidental Death & Dismemberment (24-Hour AD&D) claim and your policy number begins with EXAD, BADD or VOLF please use the following first notice of claim form:

If you are filing a 24-Hour Accidental Death & Dismemberment (24-Hour AD&D) claim and your policy number begins with AK, please use the following first notice of claim form:

If you are filing a 24-Hour Accidental Death & Dismemberment (24-Hour AD&D) claim and your policy number begins with 9907, please use the following first notice of claim form:

Group Term Life First Notice of Claim Forms

If you are filing a Group Life Insurance claim and your policy number begins with G-30175, please use the following first notice of claim form:

If you are filing a Group Life Insurance claim and your policy number begins with AGL, please use the following first notice of claim form:

Beneficiary Designation Form

The form below may be used to designate the beneficiary for your Provident policy. It can be completed online but must be printed and signed afterward.

Completed Beneficiary Forms must be kept on file with your organization, the policyholder.