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What type of insurance coverage do you need?
Home > File a Claim

Claim Information


Available Claim Forms

To submit a claim use one of the appropriate company links below. If none are available for your particular claim, please contact us directly.

Auto Accident Claim
Commercial Auto Accident Claim
Property Loss Claim Form
Renters Property Loss Claim Form

Aetna
Aetna

Aetna

URL:
http://www.aetna.com

Aflac
Aflac

Aflac

URL:
http://www.aflac.com

American Intl. Group
American Intl. Group

American Intl. Group

URL:
http://www.aig.com

AmTrust

AmTrust

AmTrust

URL:
https://amtrustgroup.com/small-business-insurance

Anthem Insurance
Anthem Insurance

Anthem Insurance

URL:
http://www.anthem.com/

Blue Cross / Blue Shield
Blue Cross / Blue Shield

Blue Cross / Blue Shield

URL:
http://www.bluecross.com

Chubb
Chubb

Chubb

URL:
http://www.chubb.com

Cigna
Cigna

Cigna

URL:
http://www.cigna.com

CNA
CNA

CNA

URL:
http://www.cna.com/

CNA Surety
CNA Surety

CNA Surety

URL:
http://www.cnasurety.com

Encompass Insurance
Encompass Insurance

Encompass Insurance

URL:
http://www.encompassinsurance.com

GNY Insurance Companies
GNY Insurance Companies

GNY Insurance Companies

URL:
http://www.gny.com

Guard Insurance Group
Guard Insurance Group

Guard Insurance Group

URL:
http://www.guard.com

Guardian Life
Guardian Life

Guardian Life

URL:
http://www.guardianlife.com

Hagerty

Hagerty

Hagerty

URL:
http://www.hagerty.com

Hanover

Hanover

Hanover

URL:
http://www.hanover.com

Harleysville Insurance
Harleysville Insurance

Harleysville Insurance

URL:
http://www.harleysvillegroup.com

Hartford Insurance Company
Hartford Insurance Company

Hartford Insurance Company

URL:
http://www.thehartford.com

Hartford Steam Boiler
Hartford Steam Boiler

Hartford Steam Boiler

URL:
http://www.hsb.com

John Hancock
John Hancock

John Hancock

URL:
http://www.johnhancock.com

Kemper Insurance
Kemper Insurance

Kemper Insurance

URL:
http://www.kemperinsurance.com

Lloyds
Lloyds

Lloyds

URL:
http://www.lloyds.com

MetLife
MetLife

MetLife

URL:
http://www.metlife.com

National Grange Mutual
National Grange Mutual

National Grange Mutual

URL:
http://www.msagroup.com

New York Central Mutual Payment Link

New York Central Mutual Payment Link

New York Central Mutual Payment Link

URL:
http://www.nycm.com/payment/paymentoptions.htm

Nova Casualty Company
Nova Casualty Company

Nova Casualty Company

URL:
http://www.novacasualty.com

Oxford Health Plans
Oxford Health Plans

Oxford Health Plans

URL:
https://www.oxhp.com

Philadelphia Insurance Companies
Philadelphia Insurance Companies

Philadelphia Insurance Companies

URL:
http://www.phlyins.com

Progessive Payment Link
Progessive Payment Link

Progessive Payment Link

URL:
https://payment2.progressive.com/expresspay/ExpressPay.aspx?Page=PYMT.Express.EnterPolicyInformation

Progressive
Progressive

Progressive

URL:
http://www.progressive.com

Quincy Mutual
Quincy Mutual

Quincy Mutual

URL:
http://www.quincymutual.com

The Andover Companies
The Andover Companies

The Andover Companies

URL:
http://www.andovercos.com

Travelers
Travelers

Travelers

URL:
http://www.travelers.com/

Union Central
Union Central

Union Central

URL:
http://www.unioncentral.com

Zurich
Zurich

Zurich

URL:
http://www.zurich.com/

Zurich Payment Link
Zurich Payment Link

Zurich Payment Link

URL:
https://secure4.billerweb.com/zur/JustPayIt/jpt.do

Applied Underwriters
Applied Underwriters

Applied Underwriters

URL:
http://www.applieduw.com

Kaiser Permanente
Kaiser Permanente

Kaiser Permanente

URL:
http://www.kaiserpermanente.org

MAPFRE Insurance
MAPFRE Insurance

MAPFRE Insurance

URL:
https://www.mapfreinsurance.com/

Mercury Insurance
Mercury Insurance

Mercury Insurance

URL:
http://www.mercuryinsurance.com

National General
National General

National General

URL:
http://www.nationalgeneral.com/customer-care/default.asp

National General Payment Link
National General Payment Link

National General Payment Link

URL:
http://www.nationalgeneral.com/Account/Enterpolicy.asp

Safeco
Safeco

Safeco

URL:
http://www.safeco.com

Safeco Payment Link
Safeco Payment Link

Safeco Payment Link

URL:
https://customer.safeco.com/login.asp?hdnOriginalURL=NONE&hdnCookieDetectionComplete=TRUE

United Health Care
United Health Care

United Health Care

URL:
http://www.unitedhealthcare.com

Facbook
Facbook

Facbook

URL:
http://www.facebook.com/?ref=logo#!/pages/Carriage-Trade-Insurance-Agency/104227659643705

Twitter
Twitter

Twitter

URL:
https://twitter.com/CarriageTrade_M

Linkedin
Linkedin

Linkedin

URL:
http://www.linkedin.com/company/2729087?goback=%2Efcs_GLHD_carriage+trade+insurance_false_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2_*2&trk=ncsrch_hits

AmTrust Pay

AmTrust Pay

AmTrust Pay

URL:
https://amtrustgroup.com/small-business-insurance/policyholders/payment-options

Landmark Tax Service

Landmark Tax Service

Landmark Tax Service

URL:
http://www.landmarktaxservice.com

Small Business Health Insurance

Small Business Health Insurance

Small Business Health Insurance

URL:
http://www.nysmallhealth.com

New York Disability

Arch- Notice and Proof of Claim for Disability Benefits.pdf

Guardian - Notice and Proof of Claim for Disability Benefits.pdf

Hartford - Notice and Proof of Claim for Disability Benefits.pdf

Mutual of Omaha - Notice and Proof for Disability Benefits.pdf

Standard of NY - NYS Disability Claim.pdf

Standard Security - Notice and Proof of Claim for Disability Benefits.pdf

Unum - Notice and Proof of Claim for Disability Benefits.pdf

 

Paid Family Leave - New York

Arch - Bonding Family Care Military Leave.pdf

Guardian - Notice and Proof of Claim for Disability Benefits.pdf

Lincoln - Bonding Family Care Military Leave.pdf

Standard Life - Bonding Family Care Military Leave.pdf

Hartford - Bonding.pdf

Hartford - Military Leave.pdf

Hartford - Family Care.pdf

Hartford - Military Leave.pdf

Standard Security - Military Leave.pdf

Wesco - Bonding.pdf

Wesco - Family Care.pdf

 

Administrative Forms

Disabilities Survey Form.pdf

DB135 Voluntary Coverage (Non-Contrib).pdf

DB120.1 Request Form.pdf

DB136 Voluntary Coverage (Contrib).pdf

DB212-3 Officer Exclusion.pdf

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Carriage Trade Insurance Agency, Inc.
99 Tulip Avenue
Suite 404
Floral Park NY 11001
At Carriage Trade Insurance, the spirit of creativity is alive and well! We’ve dedicated our careers – a combined 40-plus years – to continually stay abreast of trends and innovations in the insurance industry and put that knowledge to work for you to create unique and individualized insurance solutions.
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