Office of the Special Deputy Receiver

Representing Andrew Boron, Director of Insurance, Illinois Department of Insurance
Paul A. Miller, 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)

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

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

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

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

HMO Provider Claims
(E.g., Medical Service or Equipment)

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

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