Claim Supplement - USLI 2025

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The document is a Claim Supplement form for Professional Liability insurance, requiring detailed information about any claims made, including claimant details, claim occurrence date, background information, EEOC rulings, defense costs, settlement amounts, insurance coverage status, and remedial measures taken. It emphasizes the importance of this information for underwriting purposes and clarifies that it does not alter the existing policy coverage.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I submit a supplemental claim to my insurance company?

For any kind of supplemental claim, you must contact your insurance company and give them your original claim number. The best way to notify the company is in writing, sent Certified Mail. That way, youll know who signed for the letter. The insurer will have to re-open the claim.

What is a supplement in claims?

Supplementing means the orderly addition of charges to an insurance claim. This can happen for several reasons: The estimate for replacement materials was below the actual outlay due to fluctuating commodities prices or other causes. The adjuster overlooked a damaged area during the inspection and estimate.

What is a supplement on an insurance claim?

A supplement is an additional payment beyond the original payment on the claim. Supplements are a common component of an insurance claim, as some damage may not be discovered until repairs start. A re-inspection may be needed if your contractor finds additional or hidden damages.

How to submit a supplemental claim?

Details and documentation: Provide a detailed explanation of the reason for the supplement. Be clear and concise in explaining your request, including any supporting documentation or receipts if required. Make sure to attach any necessary documents to the form as specified.

Is USLI a real company?

USLI aspires to be the very best insurance company for underwriting insurance for small businesses along with a select group of specialty products. We are committed to making a difference to our customers through well-designed products delivered with unparalleled speed, service and support.