Office of the Special Deputy Receiver

Representing Robert H. Muriel, Director of the Illinois Department of Insurance

J. Kevin Baldwin, Acting Special Deputy Receiver & Chief Executive Officer

On-line Proof of Claim (POC) Form

If filing a late claim, please contact our office at 312-836-9500.

Click link to complete POC form based on type of insurance claim

Property & Casualty Loss or Return Premium Claims and Non-Reinsurance General Creditor Claims
(E.g., Auto, Homeowners, Liability, Workers' Compensation and General Creditor Claims)

HMO / Accident & Health Claims and Non-Reinsurance General Creditor Claims
(E.g., Medical, Return Premium and General Creditor Claims)

HMO / Accident & Health Provider Claims
(E.g., Medical Service or Equipment)

Life Claims
(E.g., Life Insurance, Annuity Benefits, Return Premium and General Creditor Claims)

Reinsurance Claims
(E.g., Loss, Return Premiums, and General Creditor Claims)

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