Certificate of Coverage Request Form
Complete Claim Reporting Form and return to your agent or CCMSI.
Address: P.O. Box 1378, Ridgeland, MS 39158
Phone: Toll Free (800) 672-1108 Local (601) 899-0148
Fax (601) 899-0160
Email: msnewclaims@ccmsi.com
Lisa Spell, Claims Supervisor, lwells@ccmsi.com