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Help with critical illness insurance claims

Help with critical illness insurance claims

How to submit a critical illness and wellness claim.

How should a critical illness claim be filed?

The employee and employer can each click this link to complete, electronically sign and submit the critical illness form.

New York customers: Complete and submit the specified disease claim form (PDF).

The employee will need to provide the form to their doctor to complete and submit the Attending Physician's Statement.

If you wish to file a paper claim, after you click the link above to open the form, click options and Download PDF to print a blank claim form. Submit printed forms via:

How are critical illness benefits issued?

Benefits are paid by check in a lump-sum.

Is the critical illness benefit offset by income from other policies?

No. The critical illness policy doesn’t coordinate or offset with anything including medical insurance, workers’ compensation, disability benefits, other accident policies, etc.

How should an employee submit a wellness claim?

The employee should sign in to their principal.com account, then complete and submit the online claim form.

If they wish to file a paper claim, click this link to open the Wellness/Health Screening Claim form, then click options and Download PDF to print a blank claim form.

Submit printed forms via:

Is there a time limit to file a wellness claim?

Yes. The claim must be submitted within 12 months of the date the test was completed.

Are the critical illness and wellness benefits taxable?

It depends how the premiums were paid.

  • For premiums paid with pre-tax dollars, the benefit is taxable. However, we don’t withhold taxes from the actual benefit payment.  
  • For premiums paid with post-tax dollars, the benefit is non-taxable. 
  • For premiums paid with a mix, only the portion paid with pre-tax dollars is taxable.
Can two wellness benefits be paid if a member has both an accident and a critical illness policy?

Yes. There is no coordination of benefits, so a member can receive 2 wellness benefits. Because the wellness form is the same for both policies, the employee only needs to submit the form once.

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