Back To Top

Mail/Fax

  1. Download a claim form by going to “Participant Resources > Forms”
  2. Complete the form and attach copies of your documentation
  3. Mail to Diversified Benefit Services, P.O. Box 260, Hartland, WI 53029
  4. Or fax to 262-367-5938
Diversified Benefit Services, Inc. Logo

P.O. Box 260.Hartland.WI.53029 | Phone: 262-367-3300 | 800-234-1229 | Fax: 262-367-5938

Copyright 2017 - Diversified Benefit Services, Inc. - All Rights Reserved