top of page

The Standard/(AHL) Supplemental Insurance/Voluntary Benefits
"CLAIMS RESOURCE PAGE"  - L.A. Co. Payroll Account# (E0128)

To file a claim with The Standard/(AHL) online, please press this button for more details. 

 

 

Below are the hardcopy, (pdf) forms for your perusal, for your records and if you need to print them for use.  If more claims help is needed, please contact us for help in explaining these forms as well as to explain what collateral information might be needed to support your claim.  To make an appointment just choose a date/time by clicking this link:  https://calendly.com/evbsinsuranceagency/the-standard-ahl-formerly-allstate-benefits-customer-service-only    

(EVBS) Insurance Agency, Inc. is an insurance brokerage that is NOT an insurance company therefore it DOES NOT PAY claims per any insurance contracts.  Furthermore, we ask that you DO NOT SEND any insurance carrier claim form(s) nor any subsequent insurance claim form documentation/information to (EVBS) nor its Producers through this website. We DO NOT serve as an external claim processing center for any of the contracted companies we do business with; each company has a customer service/claims department that will accept their respective forms necessary to process, to adjudicate and to pay out claims/policy/contractual benefits.  In advance, (EVBS) and it's Producers appreciate your business, your understanding and you patience in this matter.

"mybenefits
Secure Online 
Claims Filing" 
Instruction 

Disability
Coverage
"Claims Checklist" 

Accident Coverage
Claim Form

Cancer Coverage
Claim Form

"Wellness Benefit"
Claim Form

Disability
Coverage
Claim Form

Critical Illness
Coverage
"Claims Checklist"

Life  Coverage, "Death Benefit"
Claim Form

"Outpatient Physician's Treatment Benefit" 
Claim Form

Hospital Indemnity
Coverage
"Claims Checklist"

Critical Illness Coverage
Claim Form

Claims Administration
Direct Deposit
Authorization
Form

Disability Coverage for "Maternity Benefits" Claim Form

Hospital Indemnity
Coverage
Claim Form

Cancer Coverage
"Claims Checklist"

HOME

Ca. Lic.#: 0K53294

Pasadena, California

This/These product(s) is/are neither sponsored nor endorsed by The County of Los Angeles.

COVID-19.Logo-DT30122035-01_edited.jpg

 Toll Free: (888) 519-3330 @ X1

HIPPA Trainig.com Compliant Badge
Linkedin-icon-vector-Logo #2.2018.jpg

Visit

1015 North Lake Avenue, Suite #211 (Mailbox #115)

Pasadena, CA. 91104

 

 

Direct: (626) 831-2875

Fax: 626-270-4133

 

© 2023 by

Advisor & co.

Proudly created with Wix.com

Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc.

bottom of page