Incident Reporting
Any incident, which is a loss or could lead to a loss should be reported to the Hylant Administrative Services Claim Department. This allows flexibility in evaluating and/or minimizing a potential loss. It also provides an opportunity for Risk Management Services to get involved, if needed, and assist in eliminating or minimizing future incidents of a similar nature.

Claim and Litigation Reporting

Property and Liability (Other Than Workers Compensation)

Litigation is to be reported to HAS Claim Services as soon as possible. HAS will report all claims to Trident Insurance Services on behalf of IMIP participants.

To report a Property or Liability claim or litigation, please complete an ACORD© Loss Notice or fax to 1-800-924-6615 or call 1-866-825-2467 (1-866-8CLAIMS).”

Workers Compensation
To report a Workers Compensation claim or litigation, please complete an Indiana Workers Compensation First Report of Employee Injury, Illness, State form 34401, and fax to Great Central Insurance at
309-566-4319 (Fax)

Property and Liability (Other than Workers Compensation) Claims Reporting Contacts

Report a Claim
1-866-825-2467 (1-866-8CLAIMS) (Toll Free)
1-800-924-6615 (Fax)

Bill Petro
1-800-249-5268, ext. 1913 (Toll Free)
419-259-6099 (Fax)
Bill.Petro@hylant.com

Connie Busch-Snyder
1-800-249-5268, ext. 1926 (Toll Free)
419-259-6099 (Fax)
Connie.Busch-Snyder@hylant.com

Workers Compensation Claim Reporting Contact

Great Central Insurance
1-877-769-5953 (Toll Free)
309-566-4319 (Fax)

Claim Inquiry Contacts

Grady Hendrix
1-877-474-8808 (Toll Free)
1-877-550-8193 (Fax)
claims@tridentinsurance.net

Kurt Eggerss
1-877-474-8808 (Toll Free)
1-877-550-8193 (Fax)
claims@tridentinsurance.net