In case of accident, notify the school immediately. Secure a claim form from the school.
The claim form must be submitted within 90 days from the date of accident.
Treatment must commence within 90 days from the date of accident.
Attach itemized bills from the doctor or medical provider showing treatment, dates of treatment and charges.
Forward the completed claim form and bills to: BMI Benefits, LLC P.O. Box 511, Matawan, N.J. 07747, or fax to (732)-583-9610.
NO ADDITIONAL CLAIM FORM IS NECESSARY for other bills related to this accident. Please note the claim number or name of student, school district and date of accident on all bills and correspondence.
Recommendation: Keep copies of all correspondence.
All benefits will be paid directly to the Medical Providers involved, unless paid receipts accompany the bills.
If you have any questions, call the claims department toll-free at (800) 445-3126.