Filing A Claim

Midwest has changed our underwriter to AmTrust. All policies issued as of January 1st, 2018 will be created with AmTrust and will have a changed claim process (required by underwriter). Policies issued before January 1st, 2018 will remain as OneBeacon policies. Individuals can identify OneBeacon policies with a "BH" that begins their policy number, followed by six numbers.

Claim Form (for completion by practitioner)

To submit a claim, your practitioner must send a completed and signed claim form to Midwest: by e-mail (, mail (Midwest Hearing Agency, 3219 Fernbrook Lane N, Plymouth, MN 55447), or by FAX (952-835-9481). Once claim form is received by Midwest, verification will be sent to Practitioner by email or FAX within one business day. Devices can then be shipped directly to the manufacturer by the practitioner for repair. In event of loss, practitioner will place order directly with manufacturer using the authorization number Midwest has provided.

Practitioners may obtain claim forms here, or by contacting Midwest at 1-800-821-5471.

Download Claim Form - AmTrust

Please mail your completed claim form to the address below:

Midwest Hearing Agency
4510 West 77th Street, Suite 109
Minneapolis, MN 55435

Phone: 1-800-821-5471
Fax: 952-835-9481