When a Member wants to make a claim for a Loss of Use as a result of accidental injury, contact the MEBP Administration Office and the appropriate forms will be sent to the Member for completion.
The Member or the beneficiary must notify the Employer and/or the MEBP Administration Office immediately of any injury or death. In the event of a claim, written notice of injury must be given to the insurance provider within 30 days after the date of the Accident, and written proof of loss must be submitted to the insurance provider within 90 days after the date of such loss. Failure to provide such notice or proof within the time limits will not invalidate or reduce the Member’s claim, if the Member can show that it would not have been reasonably possible to provide notice or proof and that notice or proof was provided as soon as was reasonably possible, but in no event later than 1 year after the date of the Accident.
If the Member suffers a loss as a result of an accident, the coverage amount is based on a Specific Loss Accident Indemnity Schedule, which is located in the Appendix of the MEBP Group Insurance Booklet. Please refer to this booklet for details regarding Group Insurance Coverage amounts.
All claims are adjudicated directly by the Insurance Carrier.