• You must submit a claim for any expenses to be paid by us. This includes treatment or services for
• which the medical provider will bill us directly. No payments will be made by us without you first
• submitting a claim.

Notice of claim, Claimant’s Statement and Authorization, and proof of claim must be mailed to:

Tokio Marine HCC - MIS Group
P.O. Box 2005
Farmington Hills, MI 48333-2005
USA