What do I need to submit with my claim?
• Your completed and signed claim form.
• Copies of Your card statement reflecting the entire monthly cellular
wireless telephone payment(s) preceding the date of damage, theft
or involuntary and accidental parting.
• A copy of Your cellular wireless service provider billing statement that
corresponds with the above card statement.
• A copy of Your cellular wireless telephone provider’s wireless
device page or other sufficient proof, as determined in the Benefit
Administrator’s sole discretion, of the cellular wireless telephone
model currently linked to Your cellular wireless telephone account.
• If the claim is due to theft or criminal action, a copy of the police
report or incident report filed within 48 hours of the occurrence.
• If the claim is due to damage, a copy of an insurance claim or other
report as the Benefit Administrator, in its sole discretion, deems
necessary to determine eligibility for coverage. In addition the Benefit
Administrator may in its sole discretion require (a) an itemized
estimate of repair from an authorized cellular wireless telephone
repair facility or (b) the Cardholder to submit the cellular wireless
telephone to the Benefit Administrator to evaluate the damage or
(c) an itemized store receipt for the replacement cellular wireless
telephone showing the purchase was made at an authorized cellular
service provider’s retail or Internet store.
• Documentation (if available) of any other settlement of the claim.
• Any other documentation deemed necessary, in the Benefit
Administrator’s sole discretion, to substantiate Your claim. All
claims must be fully substantiated as to the time, place, cause, and
purchase price of the cellular wireless telephone.