travel reimbursement form gallagher bassett

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Travel Expenses and Reimbursements

Your case manager in most cases can assist in arranging travel on your behalf, however, If you incur reasonable travel related costs to and from medical assessments as they relate to your accepted workplace injury or condition you are welcome to seek reimbursement from Gallagher Bassett.

The following form is available to use to track and claim your travel reimbursements, it outlines the information we need to process your reimbursement in a timely manner.

Click here to view and download a Travel Reimbursement Form. (this link will open WorkSafe Victoria in a new tab)

Submit your Reimbursement and other documents using our online uploader here.

Feel free to submit your completed documents direct to Gallagher Bassett via the above form.

It is important to note that travel reimbursements must be completed within 6 months of the travel being completed. Your case manage is available to discuss your travel requirements with you as they relate to your injury or condition.

Accommodation and Meals ›

I may incur Accommodation expenses for appointments. Can I claim them?  

Scheduled Fees ›

What is a scheduled Fee and how much will I be reimbursed for services? 

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CLAIMING TRAVEL REIMBURSEMENTS - Gallagher Bassett

• compensation
• reimbursements
• reimbursement
• conciliation
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• www.gallagherbassett.com.au

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<strong>CLAIMING</strong> <strong>TRAVEL</strong> <strong>REIMBURSEMENTS</strong><br />

<strong>Gallagher</strong> <strong>Bassett</strong> Services<br />

Workers Compensation Vic Pty Ltd<br />

Locked Bag 3570 GPO<br />

Melbourne VIC 3001<br />

t: (03) 9297 9000<br />

f: (03) 9297 9010<br />

e: [email protected]<br />

www.gallagherbassett.com.au<br />

WHAT CAN BE CLAIMED AS <strong>TRAVEL</strong> REIMBURSEMENT?<br />

You are entitled to claim for reimbursement for the reasonable costs of travel to and from medical<br />

treatment/services, medical panel appointments and conciliation. Please note that you will only be<br />

reimbursed for the distance taken by the most direct route to receive your treatment or attend your<br />

appointment.<br />

When claiming for travel reimbursements, it is a requirement that the claim be made within 6<br />

months of the date of travel. If not received within this time frame, the request may be denied.<br />

Private Vehicle<br />

We will reimburse:<br />

• The use of your own motor vehicle. Reimbursement is made at a set rate per kilometre<br />

(currently 30cents / km, Subject to indexation)<br />

• Cost of car parking and City Link tolls. In this instance, we request that you provide<br />

confirmation by way of receipt. If you do not have a receipt for parking, we will be able<br />

to reimburse the cost of up to $15.00, but will require verification of the appointment you<br />

attended.<br />

Public Transport<br />

• The daily fare to cover all zones travelled. In this instance, we request that you provide<br />

confirmation by way of receipt or copy of your purchased ticket.<br />

Taxi<br />

If you require transport by taxi, prior approval must be sought from <strong>Gallagher</strong> <strong>Bassett</strong>. In this<br />

instance, you are required to submit a letter from your treating practitioner stating that you are<br />

not capable of travelling either by public or private transport.<br />

Your case manager will provide a response on whether or not taxi travel expenses will be<br />

reimbursed.<br />

HOW TO CLAIM FOR <strong>TRAVEL</strong> REIMBURSEMENT?<br />

To claim for travel reimbursement, all you need to do is ensure that this form is completed in full.<br />

We request that you have your treater (doctor or health professional) initial the form as<br />

confirmation that you have attended on that day. This form will assist in promptly processing your<br />

reimbursement. Further to this, please ensure that you sign and date the declaration on this form.<br />

<strong>CLAIMING</strong> <strong>TRAVEL</strong> RE-IMBURSEMENT AT CONCILIATION<br />

We will reimburse the reasonable costs of travelling to and from a conciliation conference up to a<br />

maximum of $50 per conference. The Conciliation Costs Declaration Form is available from the<br />

Accident Conciliation Compensation Service (ACCS) on the day of the conference. You can then<br />

send the completed form to <strong>Gallagher</strong> <strong>Bassett</strong> for reimbursement. (NB: This entitlement is only for<br />

conciliation lodgements after 5 April 2010.)<br />

IF YOU NEED MORE INFORMATION<br />

If you require any further information on how to claim for travel reimbursements, please contact<br />

your case manager.

WORKSAFE <strong>TRAVEL</strong> REIMBURSEMENT FORM<br />

CLAIM NUMBER:<br />

WORKER:<br />

EMPLOYER:<br />

Date Travel From Travel To Kilometres<br />

Travelled<br />

Doctor’s<br />

Initials<br />

I declare that the above information is true and correct, and that this claim for<br />

reimbursement of expenses represents travel for the purposes of receiving treatment for<br />

my accepted work related injury.<br />

Signed …………………………………………………………….. Date ………………………<br />

Print Name …………………………………………………………….. …………………………<br />

NOTE:<br />

If your claim has not been accepted, reimbursements will only be made for travel to and from Independent Medical Assessment(s) as<br />

organised by <strong>Gallagher</strong> <strong>Bassett</strong>.

DIRECT ENTRY INFORMATION<br />

WHAT IS DIRECT ENTRY?<br />

Direct Entry is the process of having your medical and like reimbursements directly credited<br />

into your bank or financial institution account as opposed to receiving a cheque.<br />

The advantages of Direct Entry are:<br />

� Immediate access to your payments within 2 business days after the date we make<br />

the payment.<br />

� There should be no printing or postal delays.<br />

� If and when you move address, your payment will continue to be received via your<br />

bank or institution account. This alleviates the problem of cheques not being<br />

received.<br />

WHAT YOU NEED TO DO<br />

If you wish to receive reimbursement for your medical and like expenses directly into your<br />

bank or financial institution account, we request that you complete the Direct Entry<br />

Application form (see reverse side), and return it to our office.<br />

HOW WILL YOU KNOW THAT PAYMENT HAS BEEN MADE?<br />

For every payment that is directly credited to your account we will send you a statement<br />

containing the relevant information in relation to that payment.<br />

WHAT MUST YOU DO IF YOUR ACCOUNT DETAILS CHANGE?<br />

If you need to change your account details in the future this can easily be accommodated<br />

by simply telephoning us to organise a new Direct Entry Application form. <strong>Gallagher</strong><br />

<strong>Bassett</strong> Services Workers Compensation Vic Pty Ltd will confirm with you once the bank<br />

account details have been amended.<br />

WHEN WILL PAYMENTS COMMENCE TO BE PAID INTO YOUR ACCOUNT?<br />

We will update your bank account details as soon as we have received your completed<br />

form. It may take up to ten working days for this process to take effect.

Date: / /<br />

MEDICAL & LIKE EXPENSE<br />

DIRECT ENTRY APPLICATION FORM<br />

GALLAGHER BASSETT SERVICES<br />

WORKERS COMPENSATION VIC PTY LTD<br />

Locked Bag 3570<br />

GPO Melbourne 3001<br />

Claim Number:<br />

Surname:<br />

Given Name:<br />

Address:<br />

Phone Number:<br />

Bank Account Details<br />

Title of<br />

Account:<br />

Account<br />

Details:<br />

Signature(s)<br />

Name of Bank<br />

or<br />

Financial<br />

Institution:<br />

Address or<br />

Bank or<br />

Institution<br />

where account<br />

is held:<br />

Insert the exact name(s) the account is held in eg J Citizen<br />

BSB Number Account Number<br />

(Must be 6 numbers in length) (Maximum of 10 numbers)<br />

If a joint account, both signatories should sign<br />

This request to deposit funds directly into the account described in the schedule above is<br />

valid until further notice. If at any time the account details change for any reason then<br />

formal notification in writing will be required. <strong>Gallagher</strong> <strong>Bassett</strong> Services Workers<br />

Compensation Vic Pty Ltd (an Authorised Agent of the Victorian WorkCover Authority) will<br />

under no circumstances accept a change in the bank or financial institution details without a<br />

written signed request.

• More documents
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<strong>CLAIMING</strong> <strong>TRAVEL</strong> <strong>REIMBURSEMENTS</strong> <strong>Gallagher</strong> <strong>Bassett</strong> Services Workers Compensation Vic Pty Ltd Locked Bag 3570 GPO Melbourne VIC 3001 t: (03) 9297 9000 f: (03) 9297 9010 e: [email protected] www.gallagherbassett.com.au WHAT CAN BE CLAIMED AS <strong>TRAVEL</strong> REIMBURSEMENT? You are entitled to claim for reimbursement for the reasonable costs of travel to and from medical treatment/services, medical panel appointments and conciliation. Please note that you will only be reimbursed for the distance taken by the most direct route to receive your treatment or attend your appointment. When claiming for travel reimbursements, it is a requirement that the claim be made within 6 months of the date of travel. If not received within this time frame, the request may be denied. Private Vehicle We will reimburse: • The use of your own motor vehicle. Reimbursement is made at a set rate per kilometre (currently 30cents / km, Subject to indexation) • Cost of car parking and City Link tolls. In this instance, we request that you provide confirmation by way of receipt. If you do not have a receipt for parking, we will be able to reimburse the cost of up to $15.00, but will require verification of the appointment you attended. Public Transport We will reimburse: • The daily fare to cover all zones travelled. In this instance, we request that you provide confirmation by way of receipt or copy of your purchased ticket. Taxi If you require transport by taxi, prior approval must be sought from <strong>Gallagher</strong> <strong>Bassett</strong>. In this instance, you are required to submit a letter from your treating practitioner stating that you are not capable of travelling either by public or private transport. Your case manager will provide a response on whether or not taxi travel expenses will be reimbursed. HOW TO CLAIM FOR <strong>TRAVEL</strong> REIMBURSEMENT? To claim for travel reimbursement, all you need to do is ensure that this form is completed in full. We request that you have your treater (doctor or health professional) initial the form as confirmation that you have attended on that day. This form will assist in promptly processing your reimbursement. Further to this, please ensure that you sign and date the declaration on this form. <strong>CLAIMING</strong> <strong>TRAVEL</strong> RE-IMBURSEMENT AT CONCILIATION We will reimburse the reasonable costs of travelling to and from a conciliation conference up to a maximum of $50 per conference. The Conciliation Costs Declaration Form is available from the Accident Conciliation Compensation Service (ACCS) on the day of the conference. You can then send the completed form to <strong>Gallagher</strong> <strong>Bassett</strong> for reimbursement. (NB: This entitlement is only for conciliation lodgements after 5 April 2010.) IF YOU NEED MORE INFORMATION If you require any further information on how to claim for travel reimbursements, please contact your case manager.

• Page 2 and 3: WORKSAFE TRAVEL REIMBURSEMENT FORM
• Page 4: Date: / / MEDICAL & LIKE EXPENSE DI

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Download your Claims Form

Claims Settlement Agencies Ltd (CSA) has been acquired by Gallagher Bassett. Please note this will not have any affect on your claims and the CSA team will still be handling the claim. 

Please complete the form below to access the required claims forms. Once you've completed the form you will be able to download the required form. Please note a web submission only will not be accepted, we do require a fully completed form. 

Once complete p lease email the Form(s) to:  [email protected]  along with copies of any supporting documents.   

If you prefer to print the forms and complete by hand, you can scan the completed forms and email to the above address or post your completed form to: 

CSA Travel Claims  308 – 314 London Road   Hadleigh, Benfleet   Essex   SS7 2DD  

Please Note: A Claim Number will be allocated upon receipt of your completed Claim Form.  

If you require any more information or help please see our Frequently Asked Question's below. 

Please fill in the information below to access the claims forms: 

Frequently Asked Questions

1. What documents are required to support my claim?

The cancellation claim form has a checklist that details what type of evidence is required for cancellation claims but we’ve also included it here.

Proof of insurance and any medical endorsements – POLICY OR CERTIFICATE OF TRAVEL INSURANCE / VALIDATION CERTIFICATE - your claim will be delayed if you do not submit this. (Please note this is NOT the ATOL certificate)

Employer’s details and policy number where you are insured under a company scheme, insurance reference number etc.

Proof of travel – This must show total cost of the trip, the names of all passengers, the date of booking and the travel dates and come from the tour operator or airline. If you booked independent arrangements (i.e. car hire, travel tickets, accommodation etc.) please send the booking invoice for each item. If you booked your trip over the internet please ALSO send copies of the confirmation emails you received. If you booked your trip through a travel agent please ALSO send copies of the agents booking confirmation.

Tour operator’s cancellation invoice – This must show the amount the tour operator has charged as a cancellation fee. If you booked independent arrangements (i.e. car hire, travel tickets, accommodation etc.) please send the cancellation invoice for each item being claimed. If you booked your trip over the internet please ALSO send copies of the cancellation emails you received If you booked your trip through a travel agent please ALSO send copies of the agent’s cancellation confirmation.

Unused tickets – Tickets and invoices relating to any unused pre booked excursion, theme park entrance, activity, ski pass, theatre tickets etc. for which you are claiming.

Medical / Injury / Death – The attached Medical Certificate completed by the USUAL GP. We are sorry but we cannot accept the medical certificate completed by anyone other than the usual GP of the person causing the cancellation. The original death certificate (which we will return) or a certified copy If the deceased was insured under this policy we will require a copy of the Grant of Probate.

Redundancy – A letter from your employer confirming the date you were notified of your redundancy and the length of your employment.

Withdrawal of leave – Your employer must provide a letter confirming that your planned leave was authorised and subsequently withdrawn. This must also include the date you were first notified of this and the reason why your leave has been withdrawn.

Other Insurance – If you have submitted a claim connected to this one to another insurance company please send copies of all correspondence.

2. When should I cancel my booking?

This should be done as soon as cancellation is anticipated or has been recommended by a medical professional to ensure that any cancellation charges applied to the booking are kept as low as possible. It is important to note that if cancellation notice is unnecessarily delayed any increase in charges will likely be excluded from the claim.

3. How do I get the confirmation of booking and cancellation invoices?

These will have been provided to you by the tour operator or airline etc. at the time of booking and paying for the trip / holiday and then at the time of cancelling the booking. These are important to your claim and will be required so please contact them to obtain copies if you need to. You may not be able to obtain a cancellation invoice, in this circumstance please provide a no show document.

4. Will you pay the administration fee charged for the provision of the cancellation invoice?

No as the insurance only covers pre-paid holiday costs.

5. Will you pay the cancellation costs for a non-insured person?

No. The cancellation claim can only include costs for those people insured under our policy. Non- insured claimants must claim through their own insurance and if necessary, refund you for any costs you paid on their behalf.

6. Who has to complete the medical certificate attached to the claim form?

This has to be completed by the usual GP of the patient. It has to be the GP as he will have access to the patients previous full medical history details which a consultant or specialist may not have.

7. Will you accept my GP’s own medical certificate?

Unfortunately we can only accept our medical certificate as it has been designed to ask questions relevant to this type of insurance claim. Our medical certificate will be attached to the downloaded cancellation claim form.

8. Who pays for the completion of the medical certificate?

Costs of this nature are your responsibility and cannot be claimed back as part of your overall claim.

9. Will you accept a death certificate instead of a medical certificate?

We will always require a copy of the death certificate, however we would also require a medical report to be completed by the regular GP in relation to the medical condition that has cause the person to pass away.

10. What is a packaged holiday?

This is where the tour operator sells the travel and accommodation as a whole instead of offering each element separately.

11. What is a pre-booked excursion?

Many policies will cover pre-booked excursion costs but only if these have been booked and paid for prior to departure from the UK.

A pre-booked excursion is a small day trip you may have booked for whilst you are away.

12. Will you refund the Air Passenger Duty Tax?

No. This tax is levied by airlines and only applies if you actually travel therefore it should be refunded by the airline if you cancel the flight, please refer to the government website for details regarding APD: https://www.gov.uk/guidance/rates-and-allowances-for-air-passenger-duty

13. Will you pay the administration fee charged by the airline to reclaim my APD tax?

14. My Policy says I have to pay an excess – what is this?

An excess is the first amount of a claim that you are responsible for (it can also be known as a deductible) and may apply to more than one section of the policy and more than one incident as well as per person claiming on the insurance.

15. How much is the excess?

The value of the excess will vary according to the type of insurance you have, it is usually shown in a table of benefits on your insurance policy but can also be found in the “what’s not covered” or “exclusions” part of the policy.

16. What is an increased excess?

In some cases where a specific medical condition exists Insurers may apply an increased excess. This will be shown on the endorsement or medical screening document attached to your policy wording.

17. What is an excess waiver?

You may be able to choose an option with your policy to waive your excess at an additional premium. This means that no excess will be applied to your claim.

18. When do I pay the excess?

In most cases we deduct the excess from any payment we may make to you. If we require you to pay the excess to ourselves we will contact you with the details on how to do this. 

The medical expenses claim form has a checklist that details what type of evidence is required for medical claims, but we’ve also included it here.

Proof of insurance and any medical endorsements – POLICY OR CERTIFICATE OF TRAVEL INSURANCE / VALIDATION CERTIFICATE - your claim will be delayed if you do not submit this. (Please note this is NOT the ATOL certificate).

Proof of travel – This must show total cost of the trip, the names of all passengers, the date of booking and the travel dates and come from the tour operator or airline. If you booked independent arrangements (i.e. car hire, travel tickets, accommodation etc.) please send the booking invoice for each item. If you booked your trip over the internet, please ALSO send copies of the confirmation emails you received. If you booked your trip through a travel agent, please ALSO send copies of the agents booking confirmation.

Evidence to support the claim – Medical/dental receipts itemising the treatment/prescription and associated costs. Medical/dental reports detailing the condition and treatment provided. Written evidence from the treating doctor of the medical requirement to either extend the stay or return home early. Proof of admission and discharge date and time if you were treated as an in-patient.

Additional travel and accommodation costs – Hotel/accommodation invoice showing dates, costs and names of guests. Travel tickets / invoice showing date, cost and passenger names.

3rd party responsibility – Name, address and general information about the person or company whom you feel was responsible for your illness or injury. Photographic evidence should be provided if available. Police report if applicable. Details of any solicitor or company you have appointed to handle a personal injury claim on your behalf.

Death – Death certificate or certified cop. Grant of Probate or Letters of Administration if the deceased is the claimant.

Other Insurance – If you have submitted a claim connected to this one to another insurance company, please send copies of all correspondence.

2. I dealt with the emergency assistance company so why do I now have to deal with you?

The Emergency Assistance team handle your emergency case management whilst you are still abroad but once you return to the UK, we, as the claims management company, take over and manage your personal claim and payment for outstanding medical bills as well as bills and receipts you have paid yourself. We do share information between us, but it will be necessary for you to complete our claim form before we can review your claim.

3. What is an Emergency Assistance company?

Typically, an Emergency Assistance company is appointed by Insurers to provide a 24/7 365 service to travellers in need of medical emergency assistance. They liaise with hospitals and doctors to ensure the most appropriate medical management and provide relevant guarantees for the medical costs. They also take care of extended medical stays, additional flights and accommodation and early return repatriations.

4. When should I contact the emergency assistance company?

Most policies state under what circumstances and when you need to make contact with the emergency assistance company but usually, they state you must make immediate contact in the event of a serious injury, illness or hospitalisation or where repatriation or curtailment is being considered. However, if you need help for any reason their number is available for you to use.

5. What is a cost containment company and why has my claim been referred to them?

A cost containment company is appointed by Insurers to liaise with hospitals, doctors and clinics to ensure that only the most reasonable and appropriate costs for the treatment given to you are charged. This won’t affect your medical care or your financial standing in that country but is important in controlling Insurers healthcare claims costs. If your claim has been referred to them, they will be responsible for arranging the payment of any outstanding bills.

6. Will you pay for any “out of pocket” expenses?

In general insurance policies will not cover you for incidental expenses such as taxi fares (including those of a relative to visit you in hospital) food and drink and telephone calls.

7. Who is entitled to Hospital Benefit?

This is only paid to the person being hospitalised as an in-patient and is usually calculated from the date and time of your admission through to the date and time of your discharge. The amount payable is dependent upon the level of cover purchased and will be detailed in your policy schedule.

8. Can I claim for additional travel and accommodation costs?

If you had to stay longer than planned due to medical advice and these costs were approved by the 24-hour emergency assistance team, then these costs can form part of your medical expense claim.

9. Why am I getting reminders for unpaid medical bills already submitted to you?

It is not always possible to settle outstanding bills immediately as we may need to ask the hospital for more information so if you receive a reminder simply send it over to us and we’ll let their accounts department know why it’s still outstanding.

Don’t forget to include your claim reference number please!

10. Further unpaid bills have arrived in connection with my claim – help!

Don’t worry this happens all the time!

If you have already sent your claim form back to us, simply send this unpaid bill onwards remembering to quote your claim reference number and providing it is a covered expense, we will make the necessary arrangements to pay it.

If you have yet to return your claim papers, we would ask you to do this ASAP and mark this bill as unpaid on your claim form. If it is a covered expense, we will make the necessary arrangements to pay it.

11. How do you convert foreign currency values to £ sterling?

We use the rate of exchange that applied on the first day you were treated as published by oanda.com. If, however you paid any bills by credit or debit card then we are happy to use the rate of exchange applied by your bankers but unfortunately, we will not pay any commission charges that may be applicable. If you wish us to use this rate of exchange them, please send a copy of your bank statement showing the £ sterling equivalent and rate of exchange applied.

12. Why do you need to know my National Insurance number?

The UK has a reciprocal healthcare agreement with all European Economic Area (EEA) countries which means that if you need urgent or immediate medical attention whilst visiting the country the state healthcare will be provided at a reduced cost. This applies to UK residents and providing a National Insurance number is one way of proving your entitlement to this. We need this number to reclaim any costs falling under this agreement on behalf of your travel insurers.

13. Why do you need to know about other insurance policies I may have?

Insurers have agreed to share the cost of a claim if more than one policy covers the same incident. This helps keep insurance premiums down and, in most cases, won’t affect any no-claims bonus you may have.

An excess is the first amount of a claim that you are responsible for (it can also be known as a deductible) and may apply to more than one section of the policy and more than one incident.

Some policies offer to waive this excess for a small increase in premium and this will be shown on your endorsement attached to your policy. Check the terms and conditions of your policy wording to see if your policy offers this waiver.

In most cases we deduct the excess from any payment we may make to you, if we need you to pay the excess to ourselves, we will contact you regarding this.

19. I keep getting reminders for unpaid bills from the USA, why is this?

The USA healthcare system is complicated and if you’ve been unlucky enough to be hospitalised you may receive many bills from different service providers. This is quite normal. Even though you may have contacted your emergency assistance company, and they may have issued a guarantee, once your name is in the hospital records you may get reminders. If you do receive these, you should send the bill to the assistance company. If you didn’t contact your assistance company, you will need to register a claim with us. Until the claim is agreed by us you will still receive reminders and you will still be liable for its payment. On occasions the USA medical system means that they may use a debt recovery agent to contact you.

20. I paid a deposit at the hospital; how do I claim this back?

Some private hospitals are charging patients a deposit before any treatment is provided and this can be anything from £1,000 to £3,000 (in local currency). This is their right and unfortunately UK Insurers are unable to prevent it. If during your stay the hospital receives a guarantee from your assistance company that your claim is covered then they will normally refund you before you leave. If the deposit is not refunded, you will need to speak to your assistance company to find out why a guarantee was not issued and when it will be as the hospital will not normally refund this without the guarantee. We are unable to refund the deposit as part of your claim process.

The personal effects, money, passports and travel documents claim form has a checklist that details what type of evidence is required for claims for the theft, loss or damage to personal property, lost or stolen money or expenses incurred to obtain a replacement passport or travel documents, but we’ve also included it here.

Evidence to support money claims – Bank or building society statements showing cash withdrawal, currency conversion slips, Police report, reps report, hotel report.

Evidence to support personal effects claims – Original purchase receipts or credit card/bank statements showing purchase details, manuals and guarantee cards for watches, cameras, photographic equipment, phones, laptops etc. Photos or valuations of jewellery

Airline or carrier tickets, baggage check tags,

Repair estimate or confirmation that item is beyond economical repair from a reputable dealer, (we may also ask for the item to be sent to us)

Police report, reps report, hotel report for loss or theft; Carrier report, PIR (airline report) for airline loss or damage

Rental car agreement for theft from vehicles

Letter confirming items deemed irretrievably lost for losses whilst in the custody of the carrier / airline.

Evidence to support passport / travel documents claims – Receipts for travel, accommodation and incidental expenses incurred to obtain a replacement passport or travel documents.

Police report

3rd party responsibility – Name, address and general information about the person or company whom you feel was responsible for the loss or damage to your property other than for claims occurring in the custody of the airline or carrier.

Other Insurance – If you have submitted a claim connected to this one to another insurance company, please send copies of all correspondence

2. Why do you need receipts?

Most policies state that proof of age, value and ownership of the items being claimed must be provided and the easiest way for this is to send in the purchase receipt. It is important to note that some policies may exclude a claim, or part of, if there is no proof of age, value and ownership.

3. What if I don’t have purchase receipts?

Alternatives such as credit card /bank statements showing the purchase transaction date and value, insurance valuations, photographs, instruction manuals, guarantee documentation for watches, cameras or other electrical or electronic goods and duplicate receipts obtained from the store can be submitted in support of your claim but it is important to note that they are not guaranteed to be accepted as proof of value, age and ownership.

4. Why are deductions for wear and tear or depreciation made?

Typically, your travel policy will be one of indemnity which means it will only put you back in the situation you were in at the time of the loss. This means that we will view each item and make reasonable adjustments to the value where necessary based on the age of the item.

5. Can I dispose of my damaged items?

No. All damaged items must be kept as we may need to inspect them or have them assessed by a reputable repairer. We may reject a claim where the damaged items are no longer available so hold on to them until the claim is finalised.

6. Can I arrange to replace my damaged items?

We do not recommend you do this until we have had the opportunity to review the claim as the item may be repairable or we may be able to obtain a replacement through our supplier network at discounted rates.

7. What is a PIR and why is it necessary?

A Property Irregularity Report is a report issued by an airline with reference to the loss, damage or delay of your checked-in bags. Airlines won’t begin looking for your lost bags until this form has been completed and with some airlines, the tracking number quoted on the form will enable you to track the whereabouts of your missing or delayed bags via their tracking agent’s website!

The issuance of this form is an acknowledgement by the airline that the matter has been reported and may enable your travel insurers to claim back some of their outlay from them.

Without this PIR your claim may not be accepted.

8. What is a carriers report and why is it necessary?

A Carriers report is a report issued by a carrier (shipping company, coach company etc.) with reference to the loss, damage or delay of your checked-in bags. Carriers won’t begin looking for your lost bags until this form has been completed and with some carriers, the tracking number quoted on the form will enable you to track the whereabouts of your missing or delayed bags via their tracking agent’s website!

The issuance of this form is an acknowledgement by the carrier that the matter has been reported and may enable your travel insurers to claim back some of their outlay from them.

Without the carriers report your claim may not be accepted.

9. I didn’t get a police report for my lost or stolen possessions.

Typically, your insurance policy will say that you have to notify the police within 24 hours of the theft or loss and obtain a written police report detailing the circumstances and the items involved. If you can’t provide this or reported the matter to another authority, then tell us on the claim form and attach whatever reports you do have. Your claim may not be covered but we will review it based on what you tell us.

10. How do I prove the value of my money claim?

This can be by way of cash withdrawal slips, bank statements or currency conversion slips. If your money wasn’t obtained by any of these methods, then tell us why and we’ll let you know how you can prove the value and ownership.

11. Why do you want to know about other claims I have made?

It is industry practice to share details on claims trends and helps Insurers analyse the levels and values of cover offered within their policies. anti-money laundering policy to check and ensure that all claims are valid and accurate.

12. My Policy says I have to pay an excess – what is this?

13. How much is the excess?

14. What is an excess waiver?

15. When do I pay the excess?

In most cases we deduct the excess from any payment we may make to you.

The delayed baggage claim form has a checklist that details what type of evidence is required for delayed baggage claims, but we have also included it here.

Proof of insurance and any medical endorsements – POLICY OR CERTIFICATE OF TRAVEL INSURANCE / VALIDATION CERTIFICATE - your claim will be delayed if you do not submit this. (Please note this is NOT the ATOL certificate) Employer’s details and policy number where you are insured under a company scheme, insurance reference number etc. Proof of travel – This must show total cost of the trip, the names of all passengers, the date of booking and the travel dates and come from the tour operator or airline. If you booked independent arrangements (i.e. car hire, travel tickets, accommodation etc.) please send the booking invoice for each item. If you booked your trip over the internet, please ALSO send copies of the confirmation emails you received. If you booked your trip through a travel agent, please ALSO send copies of the agents booking confirmation.

Evidence to support emergency expenses and items claimed – Receipts for emergency purchases made whilst awaiting receipt of your baggage.

Or credit card / bank statements showing the transactions.

Airline PIR or carrier report.

Letter from airline / carrier confirming date and time baggage returned to you.

Airline / carrier tickets.

Baggage check tags.

2. Why do you need receipts for my emergency items?

Most policies pay “up to” the policy limit for delayed baggage emergency items and therefore the receipts will prove the amount you spent.

3. What happens if I do not have receipts?

Your claim may not be accepted for the items you cannot supply a receipt for but tell us why and we may be able to review your claim based on these reasons.

4. Is there an excess for these claims?

5. Can I claim from the airline for the expenses you will not cover?

Typically, the airlines and carriers cover the same type of costs as travel insurers but in certain circumstances where your “covered” expenditure exceeds the policy limit you may be able to claim the balance from the carrier. However, you need to declare your intention to do this to us.

6. Why do you need confirmation of the time my baggage was delivered?

Most policies only cover your expenses if your baggage was delayed for a period in excess of 12 hours.

The curtailment claim form has a checklist that details what type of evidence is required for curtailment claims but we’ve also included it here.

Evidence to support the claim – Medical Certificate completed by the USUAL GP of the non-travelling person whose illness or injury caused the curtailment. We are sorry but we cannot accept the medical certificate completed by anyone other than the usual GP of the person causing the curtailment.

Medical report issued by the overseas treating doctor advising of the need to return early.

The original death certificate (which we will return) or a certified copy.

If the deceased was insured under this policy, we will require a copy of the Grant of Probate

Armed Forces Withdrawal of leave – Your commanding officer must provide a letter confirming that your planned leave was authorised and subsequently withdrawn. This must also include the date you were first notified of this and the reason why your leave has been withdrawn.

The Emergency Assistance team manage your emergency case management whilst you are still abroad but once you return to the UK, we, as the claims management company, take over and manage your personal claim and payment for outstanding medical bills. We do share information between us, but it will be necessary for you to complete our claim form before we can continue with your claim.

Typically, an Emergency Assistance company is appointed by Insurers to provide a 24/7 365 service to travellers in need of medical emergency assistance. They consult with hospitals and doctors to ensure the most appropriate medical management and provide relevant guarantees for the medical costs. They also take care of extended medical stays, addition flights and accommodation and early return repatriations.

5. We curtailed but didn’t contact the emergency assistance company for approval.

In these circumstances we would suggest you attach a covering letter to your claim form explaining what happened and why you didn’t contact the assistance company for approval. We will then review your claim based on the facts presented to us although this is no guarantee that the claim will be accepted.

7. How are curtailment claim refunds calculated?

Usually these are calculated on a proportionate value of pre-paid costs from the date of return to your home country so if you were on a 10-day holiday and returned after 8 days we would consider a claim for 2 days unused prepaid holiday costs.

8. How do you convert foreign currency values to £ sterling?

We use the rate of exchange that applied on the date you incurred the cost as published by oanda.com. If, however you paid any part of your curtailment claim by credit or debit card then we are happy to use the rate of exchange applied by your bankers but unfortunately, we will not pay any commission charges that may be applicable. If you wish us to use this rate of exchange them, please send a copy of your bank statement showing the £ sterling equivalent and rate of exchange applied.

9. We curtailed due to the death of a relative in the UK, do we need a medical or death certificate?

In the first instance we would ask you to submit the death certificate or a certified copy but dependent upon the cause and date of death and the date of purchasing the insurance we may ask that you get further medical information from the deceased’s GP.

10. Our original pre-paid flights were used to return home early – can we claim them back?

Generally, the curtailment cover is for the proportionate refund of unused travel and accommodation costs so if the flights were used you may not be entitled to claim a refund.

11. Why do you need to know about other insurance policies I may have?

14. What is an increased excess?

15. What is an excess waiver?

Some policies offer to waive this excess for an additional premium, and this will be shown on your endorsement attached to your policy. Check the terms and conditions of your policy wording to see if your policy offers this waiver.

16. When do I pay the excess?

The travel delay missed departure an abandonment claim form has a checklist that details what type of evidence is required to support the claim, but we’ve also included it here.

Evidence to support travel delay claims – Written evidence from the carrier (airline, coach company, cruise company, rail line etc.) confirming the exact reason for the delay together with the original date and time of departure and the eventual date and time of departure.

Evidence to support missed departure claims – Written evidence proving pre booked public transport & itinerary.

Original unused tickets /Receipts/tickets for additional travel and accommodation expenses.

Proof of breakdown or accident to your vehicle.

Written evidence from the carrier (airline, coach company, cruise company, rail line etc.) confirming the exact reason for the cancellation or curtailment of the scheduled public transport and the date & time the cancellation was notified.

Evidence to support abandonment claims – Cancellation invoice or “No Show” letter. Written evidence from the carrier (airline, coach company, cruise company, rail line etc.) confirming the exact reason for the delay, the date & time you cancelled the booking together with details of any alternative travel arrangements offered to you.

2. I was delayed so why won’t you pay for the loss of my holiday time?

Typically, the travel delay cover is a set benefit based on the number of hours you were actually delayed and does not extend to cover you for the loss of holiday time as a result of the delay. You should contact the airline or holiday company to check if they can provide you with any payment for the loss of your holiday.

3. Why do I have to provide proof from the carrier of the cause of delay and the date and time of eventual departure?

Cover is only provided for specific causes of delay and the benefit is calculated on set time periods.

4. Can I claim travel delay compensation from the airline as well?

As the travel delay cover is a benefit you are also able to claim from the airline in the event of a delay. You will need to contact the airline directly to submit this claim, however you can also refer to the CAA to check if you are eligible. https://www.caa.co.uk/passengers/resolving-travel-problems/delays-and-cancellations/delays/

5. Why do I have to check in before I can abandon my trip?

Delays can change quickly – an apparent lengthy delay can be reduced by transferring to another carrier or departure point and as abandonment claims are only acceptable after a set delay period it is necessary to check in unless there has been a specific announcement requesting passengers NOT to check in to avoid congestion at departure points.

6. Can I claim for food and drink costs incurred whilst I was delayed?

Typically, the travel delay cover is a set benefit based on the number of hours you were actually delayed and does not extend to cover you for out-of-pocket expenses.

7. Can I claim for the time delay in arriving at my destination?

This is dependent on the policy you have purchased and the type of cover they provide; however, this is usually applied from your departure time and not the arrival time. 

Complaint process for UK based customers

Although Gallagher Bassett Services Pty Ltd has taken all reasonable care in the preparation of the information provided on this site, Gallagher Bassett does not guarantee that the information is necessarily true, accurate or complete. The information is provided without warranty of any kind to any person or organization. By accessing this service, you agree that Gallagher Bassett is not liable for any expense, loss or cost you may incur as a result of the information on this site being inaccurate or incomplete in any way or incapable of achieving any purpose. © Copyright Gallagher Bassett Services Pty Ltd. All rights reserved

SFM-The Work Comp Experts

Injured worker frequently asked questions

NOTE: The information below relates to work injuries occurring in Minnesota, Wisconsin, Iowa, Nebraska and South Dakota. Please contact your Gallagher Bassett claims representative or call (800) 922-5246 for information on claims that happened in other states.

What do workers’ compensation benefits cover?

Workers’ compensation benefits generally cover medical costs and lost wages due to work-related injuries. To learn more, visit our benefits overview page .

What is a waiting period?

A waiting period is the number of days you must be off work due to a work-related injury before benefits for lost wages begin. The waiting period is three days in Minnesota, Wisconsin and Iowa. It’s seven days in Nebraska and South Dakota.

What happens if I can’t do my regular job due to my injury? Will I still get paid?

You may still be able to return to work in a modified or light-duty role if you have medical restrictions that prevent you from doing your regular job. Workers’ compensation benefits generally cover two-thirds of the difference if you receive less than your usual pay. If you can’t work at all, workers’ compensation benefits generally pay two-thirds of your average weekly wage, within minimum and maximum limits set by your state. Your state also has a set number of days you must be off work before you can begin receiving benefits. (See the question about waiting periods below for more information on that.) A number of other factors also come into play, so make sure to talk with your claims representative to get details on your specific situation.

Why are all these people calling me?

Your claims representative will usually be your main contact for questions or updates on your workers’ compensation claim. You might also hear from others at SFM such as a medical case manager (usually a nurse) or rehabilitation consultant, depending on your needs and circumstances. Nurses might get involved to make sure you’re getting the best treatment for your injury. Rehabilitation consultants sometimes help you return to work. They’re all focused on helping you recover and get back to work.

I need prescription medication. How do I get it?

Watch your mail for a card from a prescription vendor we use called myMatrixx. Use this card at network pharmacies to fill prescriptions for your work-related injury with no out-of-pocket costs to you. If you haven’t received your card in the mail yet, you can you can print a temporary prescription card or ask your claim representative to text it to you. Check the letter that arrives in the mail along with your card for network pharmacies, or use the myMatrixx pharmacy locator .

How do I get reimbursed for mileage?

Fill out our mileage and travel reimbursement form . You can also create a written request that includes your name, claim number, date of travel, addresses traveled to and from, and the round-trip mileage. Email, fax or mail this information to your claims representative. We suggest you submit mileage every two weeks or once a month. If you wait longer, it may take longer to process.

What should I do with medical bills or balance due statements?

If you receive a medical bill or balance due statement for services related to your work injury, please send it to us at:

SFM Companies PO Box 9416 Minneapolis, MN 55440

Who pays my medical bills?

The insurer your employer uses for workers’ compensation coverage (like SFM) generally pays bills related to work-related injuries. The laws in your state dictate whether your injury is considered work-related.

Where should my doctor’s office send medical bills?

Please let your doctor know you have filed a workers’ compensation claim. Have the provider send bills to:

When will I get paid?

It usually takes 14-30 days from the date you are injured to pay lost-time benefits, depending on your state’s deadlines. Our claims representatives try to issue checks as soon as possible after they have all the information needed to determine that you’re eligible to receive benefits.

How much will I get paid?

Workers’ compensation benefits generally cover two-thirds of lost wages due to a work injury, subject to minimum and maximum limits. Workers’ compensation benefits are not taxable. You could receive additional benefits if you have a permanent loss of function due to an injury. See additional information on our benefits page , or contact your claims representative to learn more.

Will benefit checks come to me, or my employer?

You will receive benefit checks directly.

Can I have my checks automatically deposited?

Yes. Direct deposit can be a good option if you receive benefits for more than two months. Visit the direct deposit page for set-up instructions.

Can I access my claim information online?

Yes. If you have a workers’ compensation claim with us, you can access information such as your claim number, claim details, payment status and more through SFM’s Claim Connection. Visit the Claim Connection page for additional information. 

Related content

You were injured at work, now what?

Benefit overview

Claim Connection portal

Injured worker video

Direct deposit

Getting prescriptions

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Proven experience reducing the cost of travel claims portfolios

Travel claims management .

Gallagher Bassett (GB) has a high degree of expertise in managing  travel  claims  on behalf of specialised carriers and the London market.

Annually our teams are managing in excess of 3,000 claims on personal domestic and international risks, along with worldwide corporate travel coverages. Working with 24/7 emergency assistance partners, our specialists respond to claims all over the world in real time, following policy holder losses.

Travel Claims Management Services

We tailor our services to your requirements. Our travel claims management services include:

• A dedicated service team with the capability to manage claims on a 24/7 basis
• Targeted strategies for control and reduction in average claims cost and fraud prevention
• Agreed best practice customer service standards
• Scalability – capacity to meet changing volumes
• Intimate understanding of your business objectives and end-customer relationships
• Proactive communication with all stakeholders
• Cost effective, proactive and credible dispute resolution mechanisms
• 24/7 comprehensive support, with web-accessible claims management information systems 
• Flexible and tailored reports specific to your requirements
• Consistent compliance in external audits, insurance ombudsman service and clients

Why Partner with GB

• Robust cost containment strategies to control spending and reduce portfolio liabilities
• Award winning corporate governance framework to provide peace of mind around business risk, service level agreement adherence and contractual compliance
• Our commitment to understanding your business and ensuring the delivery of claims management services aligned to your business objectives
• Best practice customer service initiatives to protect your brand and enhance your reputation
• Proactive oversight of portfolio performance and trending to assist underwriting modelling.

Our Results

Each year GB administers in excess of $5 million in travel claim payments for our clients, achieving outstanding results including:

• Early intervention and resolution through proactive claims management
• Proven reduction in average life of claims
• Consistent compliance in external audits, insurance ombudsman service and clients.

Connect with a General Insurance Expert ›

Steven Walsh Chief Client Officer

General Insurance clients experience system upgrade ›

As part of GB’s commitment to supporting our clients with the very best technology to manage claims portfolios, the RISX-FACS® claims system has recently undergone an upgrade.

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Newgeography.com

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Moscow, like other international urban areas , is decentralizing, despite considerable barriers. The expansion will lead to even more decentralization, which is likely to lead to less time "stuck in traffic" and more comfortable lifestyles. Let's hope that Russia's urban development policies, along with its plans to restore population growth, will lead to higher household incomes and much improved economic performance.

Wendell Cox is a Visiting Professor, Conservatoire National des Arts et Metiers, Paris and the author of “ War on the Dream: How Anti-Sprawl Policy Threatens the Quality of Life ”

Note 1: The 23 ward (ku) area of Tokyo is the geography of the former city of Tokyo, which was abolished in the 1940s. There is considerable confusion about the geography of Tokyo. For example, the 23 ward area is a part of the prefecture of Tokyo, which is also called the Tokyo Metropolis, which has led some analysts to think of it as the Tokyo metropolitan area (labor market area). In fact, the Tokyo metropolitan area, variously defined, includes, at a minimum the prefectures of Tokyo, Kanagawa, Chiba and Saitama with some municipalities in Gunma, Ibaraki and Tochigi. The metropolitan area contains nearly three times the population of the "Tokyo Metropolis."

Note 2: The expansion area (556 square miles or 1,440 square kilometers) has a current population of 250,000.

Note 3: Includes all residents in suburban districts with at least part of their population in the urban area.

Note 4: Urban area data not yet available.

Photo: St. Basil's Cathedral (all photos by author)

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Road in city area.

The roads and ways of the city areas are very clumsy and many accidents are happening due to the short road. But you need to maintain the driving properly otherwise you may face accident. So now the government decided to expand the road which may put the positive effect on automobile sector. I think it is a helpful service for the society people. If you have a BMW car and you have faced any problem then better to repair it at BMW Repair Spring, TX for the best service.

Transit & transportation

Transit and transportation services are quite impressive in most of the urban cities; therefore people were getting better benefits from suitable transportation service. Urban cities like Moscow, Washington, New York and Tokyo; we have found high margin of transportation system that helps to build a better communication network in these cities. I hope through the help of modern transportation system we are able to bring revolutionary change in automobile industries; in this above article we have also found the same concepts to develop transportation system. Mercedes repair in Torrance

Moscow is bursting Noblesse

Moscow is bursting Noblesse at the seams. The core city covers more than 420 square miles (1,090 kilometers), and has a population of approximately 11.5 million people. With 27,300 residents per square mile (10,500 per square kilometer), Moscow is one percent more dense than the bleach anime watch city of New York, though Moscow covers 30 percent more land. The 23 ward area of Tokyo (see Note) is at least a third more dense, though Moscow's land area is at least half again as large as Tokyo. All three core areas rely

Belgravia Villas is a new

Belgravia Villas is a new and upcoming cluster housing located in the Ang Mo Kio area, nested right in the Ang Mo Kio landed area. It is within a short drive to Little India, Orchard and city area. With expected completion in mid 2016, it comprises of 118 units in total with 100 units of terrace and 18 units of Semi-D. belgravia villas

Russians seeing the light while Western elites are bickering?

What an extremely interesting analysis - well done, Wendell.

It is also extremely interesting that the Russian leadership is reasonably pragmatic about urban form, in contrast to the "planners" of the post-rational West.

An acquaintance recently sent me an article from "The New Yorker", re Moscow's traffic problems.

The article "abstract" is HERE (but access to the full article requires subscription)

http://www.newyorker.com/reporting/2010/08/02/100802fa_fact_gessen

One classic quote worth taking from it, is: "People will endure all manner of humiliation to keep driving".

I do find it odd that the "New Yorker" article author says nothing at all about the rail transit system Moscow had, on which everyone was obliged to travel, under Communism. It can't surely have vaporised into thin air?

Moscow is a classic illustration of just how outmoded rails are, and how important "automobility" is, when the auto supplants rails so rapidly than even when everybody did travel on rails up to a certain date, and the road network dates to that era, when nobody was allowed to own a car; an article written just 2 decades later does not even mention the rail transit system, other than to criticise the mayor for "failing to invest in a transit system".......!!!!!!!!

This is also a give-away of "The New Yorker's" inability to shake off the modern PC ideology on rails vs cars.

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