Request a Certificate of Insurance or a Claims History

Request a Certificate of Insurance or a Claims History

To Request a Certificate of Insurance

Follow the steps to request a certificate of insurance:

  1. Download and complete the form found here.
  2. Email it to risk-requests@rush.edu with the subject line stating, "Certificate of Insurance Request."

Please note that the request must be written by someone in authority within your department. Some examples of individuals in authority include the following — department chair, department director, MSP administrator or residency program director.

If you're a resident or attending that is leaving Rush and is applying for employment elsewhere, you can forward your own request. The doctor should print and sign their name on the request.

Please allow up to 10 business days to receive a completed certificate of insurance.

To Request a Claims History

Follow the steps to request a certificate of insurance:

  1. Complete the form found here.
  2. Email it to risk-requests@rush.edu with the subject line stating "Claims History Request."

Please note that the request must be written by someone in authority within your department. Some examples of individuals in authority are — department chair, department director, MSP administrator or residency program director.

If you're a resident or attending that is leaving Rush and is applying for employment elsewhere, you can forward your own request. The doctor should print and sign their name on the request.

Please note:

  • The form must be signed by the physician/provider who is the subject of the Claims History request.
  • The full name of the facility/company with complete address and fax number to which the report is to be sent must be included.
  • The Original Claims history letter will be sent to the addressee unless otherwise indicated.

Please allow up to 10 business days to receive a completed Claims History.