How to Submit a Claim

Most providers will submit claims for their services directly to us on your behalf. We encourage this practice as it ensures the best and most accurate submission of your claim.

Gather the following information

If you are submitting your own claim, no claim form is needed. You will need:

1. The provider's itemized statement* and
2. A photocopy of the front and back of your ID card so we can identify you and your coverage.

Send the information to

Principal Life Insurance Company
PO Box 10357
Des Moines, IA 50306–0357

If additional information is needed, we will contact you.

Questions?

Call us at 1.800.247.4695.

*The itemized statement shows what services and treatments were provided. A receipt showing the amount paid or bill showing the amount due is not sufficient for medical claim purposes.

EC 840–2

11/2011