I have received notice of a claim or lawsuit against me, a subpoena, a summons, or another complaint which might result in a claim against me, or I need to collect reimbursement for one of the Additional Policy Benefits listed under Section C of Coverages listed in my policy booklet. What do I do?

First, determine whether or not you were insured with CPH Insurance at the time of the incident or treatment that led to the complaint or claim. You must have been insured with CPH Insurance at the time of the incident in order for coverage under this policy to apply.

Log into your customer portal account to report a claim:

• Click the My Account button above to log into your CPH customer portal account
• Once in the portal, go to Report a Claim to complete an Initial Incident Report or Subpoena Notification Form
• If you electronically report your claim, it will be automatically sent to CPH
• If you choose to print the PDF form and manually submit it to CPH, you can scan and email the form to claims@cphins.com or fax to 312-987-0902

*These forms are used not only to notify us in the event of a situation that may lead (or has led) to a claim or suit but also to collect other policy benefits such as reimbursement for deposition expenses or licensing board investigation expenses.