Submitting A Claim

The procedures for submitting a claim may differ slightly depending on the nature of the claim. Please refer to the specific section below for help or Contact ASEBP, your employer, employee representative.

Type of Coverage
	Dental Care
	Extended Health Care
	Vision Care
	Extended Disability Benefits
	Life Insurance and Accidental Death and Dismemberment

Claim Form
	Dental Care Claim Form
	Extended Health Care/Vision Care
	Health Spending Account Expense Reimbursement