Claim Forms
If you carry a policy through Medico Corp., or your policy number begins with 000MP, please call 1-800-822-9993 to obtain claim forms.
Please pick the state you resided in when you purchased your policy:
Arkansas
Colorado
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Minnesota
Missouri
Montana
Nebraska
New Mexico
North Dakota
Oklahoma
South Dakota
Texas
Utah
Wisconsin
Wyoming