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SHIP - Senior Health Insurance Company of Pennsylvania. Questions About the Trust. Find answers to questions you may have about the trust. How do I submit a claim? If you are filing a claim for the first time we will need a completed application for benefits packet. What is third party notification? A third party designee is a person of your choosing that we will notify if your policy is in jeopardy of. Do you suspect fraud? PA Dept of Insurance.

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Patrick Bogan

1289 West●●●●●●●●●ter Drive

Sui●●●200

Ca●●el , Indiana, 46032

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Patrick Bogan

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Sui●●●200

Ca●●el , Indiana, 46032

United States

1.31●●●●7549
pb●●●●@shipltc.com

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Patrick Bogan

1289 West●●●●●●●●●ter Drive

Sui●●●200

Ca●●el , Indiana, 46032

United States

1.31●●●●7549
pb●●●●@shipltc.com

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SHIP - Senior Health Insurance Company of Pennsylvania. Questions About the Trust. Find answers to questions you may have about the trust. How do I submit a claim? If you are filing a claim for the first time we will need a completed application for benefits packet. What is third party notification? A third party designee is a person of your choosing that we will notify if your policy is in jeopardy of. Do you suspect fraud? PA Dept of Insurance.
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2 submitting claims
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5 customer service
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SHIP - Welcome | shipltc.com Reviews

https://shipltc.com

SHIP - Senior Health Insurance Company of Pennsylvania. Questions About the Trust. Find answers to questions you may have about the trust. How do I submit a claim? If you are filing a claim for the first time we will need a completed application for benefits packet. What is third party notification? A third party designee is a person of your choosing that we will notify if your policy is in jeopardy of. Do you suspect fraud? PA Dept of Insurance.

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Processing your request, please wait. Please contact us by dialing 877-956-SHIP (7447) between the hours of 10:00 am and 4:00 pm Eastern time or via email at SHIPCommissions@shipltc.com. If you are an Agent and would like to request an account, please click here for the account request.

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Fraud Form

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SHIP - Senior Health Insurance Company of Pennsylvania. Fraudulent Activity Referral Form. This form is to only be used to report fraudulent activity regarding a SHIP Policy. If you have a general comment or inquiry about a SHIP Policy please contact Customer Service.*. PA Dept of Insurance.

2

Index of /forms

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Affidavit Indemnity Agreement SHIP Website.pdf. Affidavit and Indemnity Agreement.pdf. Authorization to Disclose PHI AHL 06 22 09.pdf. Authorization to Disclose PHI Primerica 06 22 09.pdf. Authorization to Disclose PHI SHIP 06 22 09.pdf. Authorization to Disclose PHI Stonebridge 06 22 09.pdf. Authorization to Disclose PHI SHIP10302013.pdf. Authorization to Release Medical Information HIPAA SHIP Website.doc. Authorization to Release Medical Information HIPAA SHIP Website.pdf. CIP Direction to Pay.pdf.

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SHIP - Senior Health Insurance Company of Pennsylvania. Questions About the Trust. Find answers to questions you may have about the trust. How do I submit a claim? If you are filing a claim for the first time we will need a completed application for benefits packet. What is third party notification? A third party designee is a person of your choosing that we will notify if your policy is in jeopardy of. Do you suspect fraud? PA Dept of Insurance.

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