To File a Claim
To file a claim you should first obtain an original completed claim form from the school district. Please mail or fax the form to us:
Pupil Benefits Plan, Inc.
101 Dutch Meadows Lane
Glenville, NY 12302
(518) 377-5144 phone
(518) 377-3291 fax
(800) 393-3301 toll-free
When your child is injured in a school sponsored activity, you have 90 days from the date of injury to seek medical treatment. Obtain a claim form from the district and submit itemized bills to Pupil Benefits Plan in a timely manner. This plan is a secondary, non-duplicating policy. If you have medical or dental insurance that covers your child, charges must be submitted to your primary insurance first. Submit the explanation of benefits or rejection from your carrier along with itemized bills to Pupil Benefits Plan.
Additional Information:
If you need special assistance, please contact us and we will be happy to help you in whatever way we can.
