Claim form axa insurance

Still have a question? Be sure to get in touch with our expert travel team

You can also claim directly or check the status of an existing claim at our claims administrator’s 24/7 self-service portal at: https://cbpconnect.com

How can I contact someone about my claim?

Before you submit a claim

Contact AXA USA for emergency medical and travel assistance including any prior arrangements for evacuations and medical repatriations. In the event of theft or loss of property, contact the police or transportation carrier such as the airline immediately to obtain a filed report

Download your claim forms below

Claim forms are for SILVER, GOLD, and PLATINUM plans only.

Provides coverage for non-refundable payments and deposits made before your trip was cancelled due to a covered reason. This is a pre-departure benefit.

Cancel For Any Reason

Provides coverage for non-refundable payments and deposits made before your trip was cancelled. Only available on the Platinum plan as an optional benefit. This is a pre-departure benefit.

Provides coverage for non-refundable trip cost in the event you cannot continue your trip due to a covered reason. This is a post-departure benefit.

Provides coverage for the unsed portion of pre-paid expenses, accommodations, meals, and transportation expenses if you experience a delay while traveling.

Provides coverage for emergency medical expenses resulting from an accidental injury or sickness incurred while on the trip.

Accidental Death or Dismemberment

Provides coverage if you suffer an injury resulting in loss of life or limb during a covered part of your trip.

Provides coverage if your baggage is delayed 24 hours on Silver and Gold and 12 hours on Platinum.

Provides coverage if your baggage or personal effects are lost, damaged or stolen during your trip.

Collision Damage Waiver

Provides coverage if you rent a car while on your trip, and the car is damaged due to collision, theft, vandalism, windstorm, fire, hail, flood, or any cause not within your control while the car is in your possesion.

MY TRIP COMPANION

Not just a travel app but a comprehensive travel assistant that enhances your travel experience.

AXA Assistance USA S.A © 2023 All Rights Reserved.
Please read your plan document carefully. This is only a summary of our program. Please refer to your plan document for complete coverages, terms, conditions, limits and exclusions, including a pre-existing condition exclusion. Not all plans or coverages are available in every state. This summary does not replace or change any part of your plan document. If there is a conflict between this summary and your plan document, the plan document will govern. Please contact AXA for additional information regarding plan features and pricing at USTravel@axa-assistance.us. Plans contain insured benefits and non-insurance assistance services. The insurance benefits in the Silver, Gold and Platinum plans are underwritten by Nationwide Mutual Insurance Company, Columbus, Ohio In WA coverage is underwritten by Nationwide Life Insurance Company and Nationwide Mutual Insurance Company, Columbus, Ohio. Applicable to policy forms NSIGTC 2000, NSHTC 2000, SRTC 2000, or state equivalent. Benefits are administered by AXA Assistance USA, Inc. (in California, doing business as AXA Assistance Administrators, License Number 0H74893). Non-insurance assistance services are provided by AXA Assistance USA, Inc. and are not underwritten by Nationwide Mutual Insurance Company. For more information about the AM Best rating, please Click Here