For questions, please refer to our Frequently Asked Questions page.

Services we offer

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Medical Supplement Plus

Click the button below to download the claim form. Submit the completed claim form along with your eligible medical expenses to receive reimbursement. For further questions, refer to our FAQs page or contact our office.

Click to download form

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HPOU Member Medical Reimbursement

Click the button below to download the claim form. Submit the completed claim form along with your eligible medical expenses to receive reimbursement. For further questions, refer to our FAQs page or contact our office.

Click to download form

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DISABILITY

Fill out the top section and give details about your accident or illness. Your supervisor needs to fill out the middle section, and your doctor will need to fill out the bottom section.

Click to download form

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ACCIDENT

You’ll need to write in the details of your accident, and have your supervisor give details about your time off work. Then your doctor will need to write in your diagnosis and the dates you will be off work. You can fax it to the claims department at the number listed on the claim form, or call the claims department and they will help you file it.

Click to download form

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ILLNESS

Contact your area’s Combined Account Executive or our office to get the paperwork needed to make a claim.

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LIFE PLANS

Lifetime Benefit Term (Combined)

Contact your area’s Combined Account Executive or our office to get the paperwork needed to make a claim.

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LIFE PLANS

Group Term Life

Contact our office to get the paperwork needed to make a claim.

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DENTAL

Your Dental provider should file a claim for you. However, if you go to a provider that does not file claims for you, contact your dental insurance or our office to begin filing a claim.

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VISION

Your Vision provider should file a claim for you. However, if you go to a provider that does not file claims for you, contact your vision insurance or our office to begin filing a claim.

contact

1600 State Street
Houston, Texas 77007

832-200-3410
832-200-3470
info@policetrust.com