Illinois Life and Health Insurance Guaranty Association

Forms

In an effort to expedite claim filing and processing for our policyholders, we have made several different forms available for your individual needs. Please select a company below to access the necessary forms.

• Life & Health Insurance Company of America (LHICA)
• Lincoln Memorial Insurance Company (LM)
• National States Insurance Company (NSIC)
• Oak Casualty Insurance Company (OAK)
• Penn Treaty Network America Insurance Company (PTNA)

If your insolvent company is not listed above, please contact us for further assistance.

Illinois Life & Health Insurance Guaranty Association
Email: ILClaims@illinoisga.org
Phone: 773.444.4071
Fax: 773.304.3559
Mail: P.O Box 4198
Lisle, IL 60532