Terms and Conditions

To accept the following Online Claim Submissions Terms and Conditions, please click the "I Agree" button.

About these Terms and Conditions
  • All claims submitted within an online session are subject to the Online Claim Submissions Terms and Conditions as well as the Terms and Conditions of your specific policy.
  • Clicking the "I Agree" button states that you have read, understand, and agree to all listed Terms and Conditions.
Your Responsibilities
  • You are responsible for continued acceptance of the Secured Website Terms and Conditions.
  • Providing false, incomplete, or misleading information may result in your claim and/or coverage being denied or terminated.
  • All monies or overpayments owed to Allianz Global Assistance in accordance with the provisions of your Policy must be repaid. Allianz Global Assistance may deduct such monies from your future claim payments or pursue other lawful options.
  • Responsibility for retaining original claim receipt(s) for 12 months following your online claim submission(s) falls to you. Allianz Global Assistance may request these receipts at any time within the aforementioned 12 month period.
  • You must agree to the Consent Authorization at the end of the online claims process before any claim will be submitted.
Proof of Claim
  • Proof of claim may be required to determine eligibility or for audit or investigation purposes.
  • Allianz Global Assistance may require you to provide original claim receipt(s). If so requested, you are responsible for producing said receipt(s) within the time period defined by your policy.
  • In the event of failure to provide receipt(s) to Allianz Global Assistance, we reserve the right to classify your claim as an overpayment and pursue repayment.
Site Usage
  • Microsoft Silverlight is required to use the File Upload Feature of the site.
  • If there is no activity on this site for 30 minutes, your session will time out resulting in a loss of all data previously entered.

Consent and Submit

CERTIFICATION: I hereby certify that the information provided in support of this claim is complete and accurate to the best of my knowledge and belief.
In the event of a false or misleading statement in the making of this claim, coverage can be void, payment of this claim denied, and any payment made in error recovered.
I agree to refund the amount of any payments that should not have been made.

Your claim must be filed within 90 days of the date of incident.

While this website requires scanned images to be uploaded, it is your responsibility to keep the originals for one year after payment as we reserve the right to audit and ask for the originals to be sent to us during that time.

PERSONAL INFORMATION NOTICE: The information requested with respect to this claim is required by the insurer and its authorized administrator, Allianz Global Assistance and any insurance adjuster appointed to investigate any losses on its behalf (collectively “we”, “us”, “our”), for insurance purposes such as to assess any entitlement to benefits and to administer the claim. We will investigate and administer this claim by consulting the insurer’s existing files and by exchanging additional information with the insured and third parties, such as law enforcement, fire and emergency services departments, parties involved with any subrogation action, and other independent sources. All required insurance, police and claims reports must be provided to us before your claim can be adjudicated.

Your claim will be adjudicated in accordance with the terms and conditions of your policy and is subject to the verification of your coverage being valid.

*You cannot continue unless you agree to the Terms and Conditions.