A notice of claim must be filed in writing. To file a claim electronically, select, download, and save the appropriate claim form from the eClaim Claim Forms list below.The forms can be filled in on the computer. To initiate your claim online, we'll ask you a few questions about your loved one, the circumstances of their passing, and details about yourself. This form enables us to calculate the correct compensation that may be owed to your injured employee. Health Insurance Claim Form - EmblemHealth, HIP, GHI. This form is used when seeking reimbursement for non-participating providers. The infonnation we obtain to complete claims under these programs is used to identify you and to detennine your eligibility. Learn how to submit a short-term disability insurance claim. You can submit your short-term disability claim online, via fax, or via email.