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Claim Forms

Dental, Vision, Life & Disability Forms

Review the information below to submit a claim form, as well as browse our available forms.

You or your dentist should send your claims to:

Renaissance
PO Box 17250
Indianapolis, IN 46217
Attn: Claims Department

Your VSP Doctor will submit claims on your behalf. To submit an Out-Of-Network claim, visit:

www.vsp.com

For questions regarding your life and disability claim:

Email: groupclaims@renaissancefamily.com
Phone: 844-368-6485, Option #2