To file an Accident claim you will need to provide supporting documents from your medical provider. The claim form will give you some instructions on what is needed. Once you fill out the form, it will be automatically send to our office. You will need to send the supporting documents for the claim to be processed. Please feel free to call our office for assistance 405.996.0888.

The forms below are used to make changes to your current policy. For assistance please contact our office.

Use the button below to fill out the Policy Service Request form.

Name Change, Address Change, Payment method change, Request a new policy, Policy Cancellation, Rider Cancellation

(when completed this form will be emailed to the Enhanced Benefits Solutions office)