Disability
We recommend that you fill the direct deposit request so that you benefit payments are deposited directly into your bank account. Just download the form, fill it and send it to us.
Depending on the type of claim, the number of forms to fill out or to be completed by an intermediate (doctor, employer, etc.) can vary. If in doubt, contact your employer or our customer service.
If you have been insured for less than a year, complete the authorization for disclosure of information specific to your province:
Additional reports to fill during your claim's life only upon demand:
Critical illness
Depending on the type of claim, the number of forms to fill out or to be completed by an intermediate (doctor, employer, etc.) can vary. If in doubt, contact your employer or our customer service.
Complete the Physician's Statement (Select the condition that applies):
If you have been insured for less than a year, complete the authorization for disclosure of information specific to your province:
I need help with a claim
Dismemberment and total loss of use
Depending on the type of claim, the number of forms to fill out or to be completed by an intermediate (doctor, employer, etc.) can vary. If in doubt, contact your employer or our customer service.
If you have been insured for less than a year, complete the authorization for disclosure of information specific to your province:
I need help with a claim
Medical, paramedical and dental insurance
We recommend that you fill the direct deposit request so that you benefit payments are deposited directly into your bank account. Just download the form, fill it and send it to us.
Drugs
Receipts must indicate the patient name, drug name and drug identification number (DIN).
Medical and paramedical fees
Receipts must indicate the name and address of the specialist and the date of each visit or examination as well as the related costs. Consult your booklet to know your protection for professional care (chiropractor, physiotherapist and others). Please attach a medical recommendation when required by your contract.
Eye care
Receipts must indicate the name and address of the specialist and separately the costs of contact lenses, prescription glasses, mount, the exam and its date.
Dental care
Some treatments require a physician's statement and therefore cannot be claimed online: Care-related accident, Removable dentures, Fixed bridges, Crowns, Veneers, Inlays.
Option 1 : Online application
Option 2 : Apply by mail, by fax or email
I need help with a claim