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Form Details...
| Form Title: | CIGNA Medical Claim Form |
| Last Revised: | 2/2012 |
| Purpose: | Use to report expenses incurred during a medical visit |
| Who Should Use the Form: |
Employees with CIGNA medical insurance |
| Instructions: |
Login/Register to myCIGNA.com Click on "Forms Center" link (upper right corner next to "Log Out") Download Medical PDF Complete the form, sign and submit to the address on the back of your CIGNA ID card: P.O. Box 182223 Chattanooga, TN 37422-7223 |
| Form Download Information | |
| File Format: | Adobe Acrobat (.pdf) |
| Form File: | myCIGNA.com |
| Problems? Contact: | Irena Haimsky, x8706 |
If you are having trouble downloading forms see HELP below.
webmaster@fanda.ucar.edu
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