Po box 2874 clinton ia 52733

PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Allene Gunter Attn: AAA MN Claims 25510 W. 11 Mile Road Southfield, MN 48034 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson 400 Colonial Center Parkway, #200 Lake Mary, FL 32746 Cincinnati Insurance Attn: Kyle Valerius PO Box 205 Osseo ...

PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Allene Gunter Attn: AAA MN Claims 25510 W. 11 Mile Road Southfield, MN 48034 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson 400 Colonial Center Parkway, #200 Lake Mary, FL 32746 Cincinnati Insurance Attn: Kyle Valerius PO Box 205 Osseo ...Get ratings and reviews for the top 10 foundation companies in Clive, IA. Helping you find the best foundation companies for the job. Expert Advice On Improving Your Home All Proje...Allstate Insurance Company Allstate Insurance Company 19232 P.O. Box 2874, Clinton, IA 52733-2874 [email protected]; include Allstate Claim # in subject line) ... Esurance Insurance Company Esurance Insurance Company 25712 P.O. Box 2869, Clinton, IA, 52733-2869 [email protected] or contact Alicia Morales at amorales ...Claims and Billing. Medical Bill Fax: 732-813-1345; Mailing Bill Address: PO Box 2894, Clinton, IA 52733; Electronic Billing Partner: Jopari SolutionsSelectGeneral AviationCommercial PropertyProperty - E&SExcess Casualty - E&SExcess Casualty - RetailFinancial InstitutionsCommercial Management LiabilitySompo ProHealthcare LiabilityInland MarineOcean MarinePrimary Casualty - E&SSuretySompo Express. 24x7x365 Claims Hotline: +1 877 676 7575.To reach our claims office by fax: Dial 1-800-924-0273. Include your name, policy number, and claim number on each page. To reach our claims office by mail: Direct Auto Insurance Claims Department. PO Box 1623. Winston Salem, NC 27102. Include your name, policy number, and claim number. For medical providers ONLY:

PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Melvenia Simpson Attn: AAA MN Claims 1 Auto Club Drive Dearborn, MI 48126 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson National Document Center PO Box 258807 Oklahoma City, OK 73125-8807Administered by: Sun Life Financial PO Box 2941 Clinton Iowa 52733 KC2147ANY (10/2016) 14-a Employee/subscriber name (if different than patient's) 14-b Employee/subscriber Soc. Sec. or I.D. no. 14-c birthdate MO DAY YR 15 Relationship to patient Self Parent Spouse Other 11 12-aIs patient covered by another dental plan? Yes NoSolutions. Results. "Luminare" invokes light, transparency, and the dawn of new ideas and possibilities. It communicates our goal to be a shining light in healthcare every day, whether we're helping self-funded employers manage their healthcare costs, supporting clients' strategic growth goals through white-labeled back-office services ...PO Box 4278 Clinton, IA 52733-4278. What are the timely filing limits for claim submission? 365 days from the date of service. This includes any reconsiderations and ...Get instant answers to your Allstate questions, from the experts you trust. Our help page has information about policies, billing, account services & more.SelectGeneral AviationCommercial PropertyProperty - E&SExcess Casualty - E&SExcess Casualty - RetailFinancial InstitutionsCommercial Management LiabilitySompo ProHealthcare LiabilityInland MarineOcean MarinePrimary Casualty - E&SSuretySompo Express. 24x7x365 Claims Hotline: +1 877 676 7575.1-800-PSERS25 (1-800-773-7725); 8 a.m. to 8 p.m. ET, Monday-Friday. If calling from outside the U.S., dial the exit code of the local country then: 1-717-305-7388. Registered members can contact the Health Options Program online by using the secure "Contact HOP Online" email link on their Member Dashboard .

PO Box 2920 Clinton, IA 52733‐2920 3. If you have any additional questions, please contact FAES Insurance department via email [email protected] or phone: 301‐496‐8063. Medical Claim Denial: If your claim was denied, you will receive an explanation of benefits (EOB) with denial information. 1.PO Box 4392 . Clinton, IA 52733-4392 . All Other Correspondence Email: [email protected] Fax: 888-364-6002 . Intact Insurance Specialty Solutions . Attn: Workers Comp Claims . 188 Inverness Drive W, Suite 600 . Englewood, CO 80112 . Claim Call Center 1-800-203-9600 (Work Comp Claims Only)Administered by: Sun Life Financial PO Box 2941 Clinton Iowa 52733 KC2147ANY (10/2016) 14-a Employee/subscriber name (if different than patient's) 14-b Employee/subscriber Soc. Sec. or I.D. no. 14-c birthdate MO DAY YR 15 Relationship to patient Self Parent Spouse Other 11 12-aIs patient covered by another dental plan? Yes NoP.O. Box 297 Clinton, IA 52733-2974. Referrals & Authorizations. Providers should fax their treatment request to 401-825-2854. The Utilization Management Unit can also be reached by phone at 401-825-2989

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Medical Care. Trustmark. Phone: 866.893.4472. Address: Trustmark Health Benefits, P.O Box 2920, Clinton, IA 52733-2920. Trustmark Home Page. 2022 PMSD Summary of Benefits & Coverage. PMSD Summary of Medical Plan. Physician Providers Search Office Visit $15 Specialist $45. Urgent Care Provider Search $40.Medical Bill Address: PO Box 2894 Clinton, IA 52733. Medical Bill Fax: 732-813-1345 Email: [email protected] Fax: 512-491-2481. ... PO Box 149194 Austin ...Find and Insurance Provider Near Me. Home; Who We Are; Support; © 2024 InsuranceDept.org | All Rights Reserved; Terms of ServicePO Box 4392 . Clinton, IA 52733-4392 . All Other Correspondence Email: [email protected] Fax: 888-364-6002 . Intact Insurance Specialty Solutions . Attn: Workers Comp Claims . 188 Inverness Drive W, Suite 600 . Englewood, CO 80112 . Claim Call Center 1-800-203-9600 (Work Comp Claims Only)Find New York attorney Katie O'Connor in their Clinton office. Find reviews, educational history and legal experience.

GBCARE™ Clinical Services. In non-emergency situations, employees and their supervisors can speak directly to a GBCARE™ nurse 24 hours a day, 7 days a week, 365 days a year via a toll-free number. During the call, the nurse obtains all pertinent information and makes treatment recommendations and network provider referrals.You may terminate Your membership at any time by calling us at the toll free number on Your membership card, or You may notify us in writing at Member Services, PO Box 2823, Clinton, IA 52733—2823. Your cancellation will be effective promptly upon the receipt of Your cancellation notice and You will no longer be billed for Your membership.Jun 17, 2018 · Auto Insurnace Name: Auto Insurances Claim mailing address: Phone Numbers: 21ST CENTURY INSURANCE: P.O. BOX 268820, OKLAHOMA CITY, OK, 73126-8820: 888-244-6163To contact the CFPB: Consumer Financial Protection Bureau PO Box 2900 Clinton, IA 52733-2900 Phone: (855) 411-CFPB | (855) 411-2372 TTY/TDD: (855) 729-CFPB | (855) 729-2372Additional Information. Phone: 563-243-8237. Fax: 515-564-4127. Get Directions. 121 6th Ave S PO Box 1175 Clinton, IA 52733 United States.Kevin Bradley, Clinton, IA. Contact. Close contact modal (563) 206-3016 Phone 24/7 (563) 206-3016 Phone 24/7. Email. Select a product to get a quote Select an Insurance Option Below Close quote modal. Auto insurance. Home insurance. Condo insurance. Renters insurance. Motorcycle insurance. Business insurance.The Arizona School Alliance for Workers’ Compensation, Inc. P.O. Box 2882. Clinton, IA 52733-2882. Please note that Arizona workers’ compensation law allows the carrier 30 days from the date of receipt to process medical billings for payment (provided the claim is accepted and all required information is provided).PO Box 4222. Clinton, IA 52733-4222. Phone: 800-633-6259. Fax: 855-851-5407. Life Insurance Customers. PO Box 818006. Cleveland, OH 44181. Phone: 800-888-2452. Fax: 844-930-0370. American General Life Insurance Company and The United States Life Insurance Company in the City of New York. Life Insurance Customers.

City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144

Cimarron Insurance 040264 c/o Gallagher Bassett P.O. Box 2934 Clinton, IA 52733-2934Medical Bill Address: PO Box 2894 Clinton, IA 52733. Medical Bill Fax: 732-813-1345 Email: [email protected] Fax: 512-491-2481. ... PO Box 149194 Austin ...Clinton, IA 52733 Data & Demographics (As of July 1, 2023) ZIP Code 52733 is a PO Box ZIP Code. There is no demographic data available for this type of ZIP Code. However, ZIP Code 52733 is contained within ZIP Code 52732 and perhaps demographic information for this ZIP Code would be of interest to you: ZIP Code 52732 Demographic Information.Mail to: PO Box 4221, Clinton, IA 52733-4221 • Tel: 800-633-6259 • Fax: 855-851-5409 Overnight: ATTN: DXC - Life MR-1, 1315 19th Ave NW, Clinton, IA 52732. To Be Completed By Each Beneficiary (please print) Claim Number. POLICY NUMBER/GROUP NUMBER & CERTIFICATE NUMBER (If multiple policies, please list all)PO Box 2831, Clinton, IA 52733-2831 All requests for authorization should be faxed to 717.697.1402 Preferred Provider Directory Access You were referred to a medical provider by your employer for your initial care. If you need to make a change or need a specialist, please visit providerlocator.firsthealth.com to locate a physician for yourContact Information. 563-659-8148 | Environmental Services 563-242-7165 | Public Health/Genesis VNA Hospice 563-659-2616 | Environmental Services (Fax)City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144The Company shown above is solely responsible for the obligation and payment of benefits under any policy that it may issue. No other Company is responsible for such obligations or payments. Mailing Instructions: Send form(s) to: Standard Address • PO Box 4222 • Clinton, IA 52733-4222 • Tel: 800-633-6259 • Fax: 855-851-5407.Mail to: PO Box 2920 Clinton, IA 52733-2920 Email to: [email protected] HEALTH CLAIM FORM INSTRUCTIONS: THIS SIDE OF THE FORM MUST BE COMPLETED IN FULL. Attach this fo rm to itemized bills for all expenses being claimed. The bills must show: Patient’s Name, Type of Service, Date(s) of Service(s), and the Total Charge.

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Sep 25, 2023 · Please submit all forementioned with attached medical records related to the dates of service on the bills, including reconsiderations, for bill review to the following address: LWCC. ‍. Attn: Medical Bill Review. PO Box 2939. Clinton, IA 52733. You can also submit your medical bills and supporting documentation electronically through Jopari.Luminare Health PO Box 4386 Clinton, IA 52733 my. Luminare Health PO Box 4386 Clinton, IA 52733. myLuminareHealth.com. Clear Form. HEALTH INSURANCE CLAIM FORM APPROVED ay NATIONAL UNIFORM CLAIM COMMITTEE (NUCO GROUP HEALTH PLAN. PATI ENTS BIRTH DATE MM I DD I a LUNG SEX 1. MEDICARE (Medicare*) MEDICAID TRI CARE Init al) {Member JDS a.Clinton, IA 52732. We do not email permits at this time. Permits can be picked up at BNS or can be mailed back if you send self-addressed stamped envelope. ... P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144. Quick Links. Animal Control. Airport. Bids, Quotes & Proposals. Building Permits. City Ordinances. Clinton Public Library. FAQs.PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Melvenia Simpson Attn: AAA MN Claims 1 Auto Club Drive Dearborn, MI 48126 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson National Document Center PO Box 258807 Oklahoma City, OK 73125-8807PO Box 2805 Clinton, IA 52733 720.962.0222 720.962.0301 fax; ANCHORAGE, ALASKA PO Box 240369 Anchorage, AK 99524-0369 907.258.8200, ext. 1511 907.258.8282 fax; ATLANTA, GEORGIA PO Box 2805 Clinton, IA 52733 770.325.5000 / 800.877.8201 770.395.7658 fax ; BOISE, IDAHO PO Box 2805 Clinton, IA 52733PO Box 4301 Clinton, IA 52733-4301. Customer Service Center: Fixed Annuities: Brighthouse Financial PO Box 4363 Clinton, IA 52733-4363 (800) 882-1292. Email: [email protected] . Author: Pacillas, Lisa Created Date:PO BOX 2942 CLINTON, IA 52733-2942 Discount Amount Allowed Amount Other Plan Payment Other Adjustments Consolidated Explanation of Benefits This is not a Bill Benefit Explanation Code Claim #: A211111-00 Pat. Acct.: 2111111x11201 17003 - SURGERY - STEPHEN J BECK MD 8/24/2011 232.00 Ineligible CoPay/ Encounter Fee Deductible CoinsurancePO Box 4301. Customer Service Center: Clinton, IA 52733-4363 Clinton, IA 52733-4301 (800) 882-1292. Email: [email protected] -NOAGENTDISC (10/23) Page . 1ANN of 1 Annuities . Important Information for Contract Owners without a Financial Professional .PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Melvenia Simpson Attn: AAA MN Claims 1 Auto Club Drive Dearborn, MN 48126 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson National Document Center PO Box 258807 Oklahoma City, OK 73125-8807 ….

PO Box 2940 Clinton, IA 52733 Review Claim Submission Guidelines Claim attachments are not always necessary. Review the Claim Submission Guidelines to determine which attachments, if any, are required. Double check identi cation information Certain information is needed to identify your patient. The following eldsClinton, IA has 2 Standard (Non-Unique), 1 PO Box, and 2 Unique ZIP Codes. Together, these cover a total of 111.34 square miles of land area and 9.28 square miles of water area.This includes the Elvira, Hauntown, Six Mile and Clintonareas. A full list of ZIP Codes is below, including type, population and aliases for each.Mail to: PO Box 4221, Clinton, IA 52733-4221 • Tel: 800-633-6259 • Fax: 855-851-5409 Overnight: ATTN: DXC - Life MR-1, 1315 19th Ave NW, Clinton, IA 52732. To Be Completed By Each Beneficiary (please print) Claim Number. POLICY NUMBER/GROUP NUMBER & CERTIFICATE NUMBER (If multiple policies, please list all)P.O. Box 4080 Clinton, IA 52733-4080. Main: 800-467-7725 then press 0 Fax: 732-576-6157. Medical Provider Billing Inquiries. Strategic Comp Provider Relations. To Send Billing Forms and Records for Payment: Fax: 732-576-6157. To Contact a Representative for Payment Status Only:TRISTAR RISK MANAGEMENT, Clinton IA. Comprehensive information on any company or organization. ... PO Box 2805, Clinton, IA 52733. Background Check. Company Profile ...The City of Clinton's employee health insurance plan is a self-fund plan through Wellmark. Wellmark creates and publishes machine-readable files on behalf of the City. ... P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144. Quick Links. Animal Control. Airport. Bids, Quotes & Proposals. Building Permits. City Ordinances. Clinton Public ...Claims Center | National General Insurance. Need to report a claim? We can walk you through the process online or you can call 1-800-468-3466 . Report A Claim.Local Janitorial Service in Clinton, IA. Compare expert Janitorial Service, read reviews, and find contact information - THE REAL YELLOW PAGES® ... PO Box 234. Clinton, IA 52733. CLOSED NOW. 13. Service Master Co. Janitorial Service Carpet & Rug Cleaners Duct Cleaning. Website Services. 29 Years. in Business (563) 242-0724.Page 2 . PO Box 2934 • Clinton, IA 52733-2934 • Fax 847-621-7101. Reverse side must be completed if applicable before submission to Tristar . ADDITIONAL DETAILS HOW INJURY OCCURRED: Po box 2874 clinton ia 52733, Claims. Ameritas. PO Box 4346. Clinton, IA 52733-4346. Ameritas. Attn: Claims — Life MR-1. 1315 19th Ave. NW. Clinton, IA 52732-2752. Ameritas is working on updating new business and policyholder service forms for ApexAdvantage and FlexMark Select ®., P.O. Box 2805 Clinton, IA 52733-2805. Main Phone #: 214-492-5600 Toll Free: 888-285-6708. Examiners: Ivan Medina Ext. 2846 [email protected]. Aundret Smith Ext. 2818 Aundret [email protected]. Jacquelyn Maxwell Ext.2831 [email protected]. Diana Cano Ext. 2841 [email protected]. Supervisor Cecilia Hurst ..., City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144, PO BOX 1600 CLINTON, IA 52733. There are 2 companies that have an address matching Po Box 1600 Clinton, IA 52733. MEDICAL MANAGEMENT SERVICES, INC. MEDICAL PATIENT SERVICES, INC. The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest., 35% Lower claims costs than expected every year. 60% Fewer open claims per adjuster than competitors. More flexible plans. Incentive plans to reduce costs. Strategic Comp. P.O. Box 4080 Clinton, IA 52733-4080. Call (800) 467-7725. Strategic Comp Workers Compensation Claims. Strategic Comp Workers Compensation Login., PO Box 2. 934 • Clinton, IA 52733-2934 • Fax 847-621-7101. Mail To: Fax: ATTN: PO Box 2934 Clinton, IA 52733-2934 847-621-7101 State of Illinois . INITIAL WORKERS' COMPENSATION MEDICAL REPORT Claim No. The Illinois Workers' Compensation and Occupational Diseases Act provides that the employer is obligated to pay all first aid, medical, PO Box 2874 Clinton, IA 52733-2874 Auto Club Attn: Melvenia Simpson Attn: AAA MN Claims 1 Auto Club Drive Dearborn, MN 48126 Auto-Owners Insurance Attn: Joseph Schema PO Box 64357 St. Paul, MN 55164 Bristol West Attn: Dawn Brinson National Document Center PO Box 258807 Oklahoma City, OK 73125-8807, To report an injury and have the First Report of Injury report completed on your behalf, call the First Report of Injury Helpline: Phone (Toll Free): (855) 921-3164 Email: [email protected] Umialik Insurance Company 725 E. Fireweed Lane, Suite 500 Anchorage, Alaska 99503. 24/7 Work Injury Nurse Line (Advocacy Help Line): (855) 607-7548 About the 24/7 Work Injury Nurse Line (video), City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144, We’ll bring you a welcome sigh of relief when you need it most. When something happens to your home, car, business or boat, you need an insurance company that will assist you in any way they can. And that’s where we come in. At Frankenmuth Insurance, we believe the claims process should be straightforward—fast, fair and easy., PO Box 2823; Clinton, IA 52733 (844) 325-6738 Visit Website Get Directions Similar Businesses. Carefree Pet . Clinton, IA (844) 325-6738 View. Carefree Pet ..., P.O. Box 2920 Clinton, IA 52733-2920 Do not submit claims or direct questions to Aetna Signature Administrators. Submitting claims to the network instead of Trustmark will result in payment delays and incorrect denials. Expect. more. Benefit. more. Use myTrustmarkBenefits.com for anytime provider self-service., AAA in Clinton, IA 52732. Advertisement. 2301 Manufacturing Dr Clinton, Iowa 52732 (563) 243-1329. Get Directions > 3.5 based on 135 votes. Hours. Hours may fluctuate. For detailed hours of operation, please contact the store directly. Advertisement. Store Location on Map. View Map Use Map Navigation. Official Website., 115 FFS Allstate Insurance PO Box 2874 Clinton IA 52733 800.255.7828 Address updated 10/13/14 116 FFS Willis Corroon Administrative Services PO Box 305154 Nashville, TN 37230.5154 ... 138 TPA Coresource PO Box 2920 Clinton IA 52733-2920 800.624.7130 35182 8/26/08 www.coresource.com 139 TPA Wausau Benefits, Inc. POB 8013 Wausau, WI 54402 800.826 ..., Specialties: Contact my Agency to get a Quick, Personalized Insurance Quote Today! A great rate is just a call or click away. I've gotten to know many local families as an Allstate agent in Clinton. I enjoy being a part of the community, and building local relationships is one of the best parts of my job. I look forward to getting to know you and helping you to find the solutions that meet ..., Clinton Post Office Contact Information. Address, Phone Number, and Business Hours for Clinton Post Office. Name Clinton Post Office Address 300 South 1st Street Clinton, Iowa, 52732 Phone 563-242-6214 Hours, PO Box 2940, Clinton, IA 52733-2940. Cary Cox: Allstate Insurance. Insurance Agent, Insurance Companies, Auto Insurance ... BBB Rating: NR (563) 242-1020. 1104 S 14th St, Clinton, IA 52732., City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144, P.O. Box 4387 Clinton, IA 52733 Attending Dentist's Statement Please mail completed form to the address above. For questions, please refer to the Benefit Phone # on your ID card. ... Place of treatment (check applicable box) 39. Number of enclosures (00 to 99) provider's office ECF hospital other photographs(s) oral image(s) model(s) 40. Is ..., 52732 52771. Clinton, IA - PO Box ZIP Codes (NO DEMOGRAPHIC DATA) 52733. Clinton, IA - Unique - Single Entity ZIP Codes (NO DEMOGRAPHIC DATA) 52734 52736. 52732. 52771. + −., City of Clinton 611 S 3rd Street P.O. Box 2958 Clinton, IA 52733-2958 Phone: 563-242-2144, Po Box 2971. Clinton, IA, 52733-2971. Reviews Write A Review. Not yet reviewed. Review Joanne. Cost ... Clinton, IA Claim Profile. Browse Our Site Find a Lawyer Review Your Lawyer Legal Advice Recently Answered Questions Browse Practice Areas Avvo Stories Blog For Lawyers. Popular Locations, Find out the company name, phone number, email address, and website associated with the postal address PO box 2874 Clinton, IA 53733 provider number. The provider number is linked to Allstate …, HealthInvest HRA, PO Box 4390, Clinton, IA 52733-4390. HI02 5/23 PRC. 1. PARTICIPANT INFORMATION. If you are claims-eligible under more than one participant account, enter the participant account number of the account from which you want your automatic reimbursement. Otherwise, your automatic reimbursement will be taken from the account with ..., allstate po box 2874 clinton ia: allstate insurance: cary cox clinton, ia: allstate po box clinton ia: allstate insurance christy cox davenport ia: po box 2874 clinton ia 52733 phone number: geico claims: does allstate cover oem parts: insurance companies that use oem parts: insurance claim process for car accidents: allstate com app: amica oem ..., DENTAL INSURANCE CLAIM FORM Pre-authorization required for all treatment plans in excess of 300 Voluntary Dental Claims P. O. Box 2979 Clinton IA 52733-2979 800 371-1633 DENTIST S PRE-TREATMENT ESTIMATE DENTIST S STATEMENT OF ACTUAL SERVICES Any person who knowingly and with intent to defraud files a statement of claim containing false or misleading information may be committing insurance ..., BBB Directory of Insurance near Clinton, IA. BBB Start with Trust ®. Your guide to trusted BBB Ratings, customer reviews and BBB Accredited businesses. ... PO Box 2940, Clinton, IA 52733-2940 ..., Better Living Now - Health Care Products, Programs and Services. HOP- Health Options Program Address: PO Box 2921 Clinton, IA 52733-2921. Website: https://www.hopbenefits.com Telephone: 800-773-7725., P.O. Box 4387 Clinton, IA 52733 Attending Dentist's Statement Please mail completed form to the address above. For questions, please refer to the Benefit Phone # on your ID card. ... Place of treatment (check applicable box) 39. Number of enclosures (00 to 99) provider's office ECF hospital other photographs(s) oral image(s) model(s) 40. Is ..., For all medical treatment related bills, send to ICW Group, P.O. Box 2965, Clinton, IA 52733-2965. For other claim related bills or reimbursement requests, send to ICW Group, PO Box 509039 San Diego CA, 92150-9039. Or, you may fax these to 858.350.2755., Get a quote in Clinton, IA. Call The Insurance Group at (563) 242-4000 today., C/O TRISTAR PO Box 2805 . Clinton, IA 52733-2805 . Phone: 971-925-1300 Fax: 971-925-1565 . New Claim Filing Email: [email protected] . Report of Job Injury or Illness : ... extension ladder carrying a 40-pound box of roofing materials) Part Ev Src 2src ., Administration of Your Annuity. If you have any questions about your annuity benefits or if you would like to make a change to your address, beneficiary, or any other change permitted under your annuity, please contact us at: Guaranty Association Benefits Company. PO Box 4366. Clinton, IA 52733-4366. Phone: 800-421-8850. Fax: 803-333-2417.