As of December 1, 2022, Reserve National Insurance Company (formerly known as Kemper Health) is part of the Medical Mutual family of companies and is no longer affiliated with the Kemper Corporation family of companies.
The Kemper and Kemper Health trademarks and similar or derivative trademarks are temporarily being used by Reserve National Insurance Company under license from Kemper Corporation.
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Online Forms
Click on the name of the form you need in order to download the form or print out a copy directly from your PC.
Adobe Acrobat Reader is required to view PDF documents, to download a copy please click here.
MedMutual Protect Senior Solutions Insurance Claim Form
Should be filled out completely and submitted with the physician and/or hospital bill. See the Notice to Residents on page 2 of the claim form.
Bank Draft Authorization Form
If you would like to have your premiums drafted from your bank account or you currently have this option and you need to change your banking information, complete the top portion of this form and submit it with a voided check from the account from which you want us to draft. Another easy way to pay your premium is with your credit card. Complete the bottom portion of this form and submit it.
Health Care Provider Claim Inquiry
To investigate the way MedMutual Protect Senior Solutions Company has processed a particular claim, please complete this form and submit it per the instructions on the form.
Home Health Certification Claim Form
Physician's Home Health Care Certification claim form, see the Notice to Residents on page 2 of the claim form. Please complete this form and Mail it to:
MedMutual Protect Senior Solutions
PO Box 9965
Austin, Texas 78766-9965
If you are resident in
Texas
, please download the state specific form by clicking on your state name.