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Report a Disability Claim


New York

To report a New York Disability claim, download and complete the
DB-450 claim form. This form is completed by the employee (claimant), employer and the physician that is declaring the disability. Mail, fax or email the completed form to:

Disability Claims:
Arch Insurance Company c/o Administrative Concepts, Inc
PO Box #C1024
Southeastern, PA 19398-1024
Phone: 877-369-0979 fax: 610-977-3216
Email: archdbl@visit-aci.com

New Jersey

To report a New Jersey Disability claim, download and complete the NJ-TDB claim form. This form is completed by the employee (claimant), employer and the physician that is declaring the disability. Mail, fax or email the completed form to:

Disability Claims:
Arch Insurance Company c/o Administrative Concepts, Inc
PO Box #C1024
Southeastern, PA 19398-1024
Phone: 877-369-0979 fax: 610-977-3216
Email: archdbl@visit-aci.com



Information

Insurance coverage is underwritten by a member company of Arch Insurance Group Inc. This is only a brief description of the insurance coverage(s) available under the policy. The policy contains reductions, limitations, exclusions and termination provisions. Full details of the coverage are contained in the policy. If there are any conflicts between this document and the policy, the policy shall govern. Not all coverages are available in all jurisdictions.

Licenses

Arch Insurance Group includes the following insurance companies:

Arch Insurance Company (a Missouri corporation, NAIC # 11150), which is licensed as an insurer in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam.

Arch Specialty Insurance Company (a Nebraska corporation, NAIC # 21199), which is licensed in the state of Nebraska and an approved excess and surplus lines insurer in 49 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands.

Arch Excess & Surplus Insurance Company (a Nebraska corporation, NAIC # 10946), which is licensed in the state of Nebraska and an approved excess and surplus lines insurer in 47 states and the District of Columbia.