Making A Claim
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Table of Contents
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To make a claim, you would generally contact your advisor for assistance.
A claims examiner confirms that
- the insurance contract was in force at the time of the claim
- for life insurance, that the deceased was the life insured
- the loss is covered by the contract
- the claimant is the one named in the policy
Death Claims
A death claim requires the following at the claimant's expense
- claimant's statement
- Attending Physician's Statement confirming the date and cause of death
- perhaps copies of the following: death certificate, coroner's report, provincial medical examiner's report
- return of the policy contract
- if the beneficiary is the estate of the deceased: a certified copy of the letters probate or letters of administration
Disability Claims
Disability claims can be contentious
- fraudulent claims
- the claimant may not meet the definition of disability
| Type of Total Disability | Benefit Payable When … |
|---|---|
| any occupation (good) | unable to work at any job for which reasonably suited |
| get either full DI benefit or other income but not both | |
| regular occupation (better) | unable to perform essential duties of own regular occupation |
| benefit adjusted if any other employment income | |
| own occupation (best) | unable to perform essential duties of own regular or previous occupation |
| full benefit even if working at another occupation |
Time Limits
From the date that the claim arises, the claimant has
- 30 days to notify the insurer of the claim
- 90 days to provide proof of the claim
The claimant's statement contains
- the date the disability started
- the cause, nature and treatment of the disability
- the name of the doctor
The doctor provides an Attending Physician's Statement showing
- details of the disability
- estimated duration of the disability
page_revision: 6, last_edited: 1190497732|%e %b %Y, %H:%M %Z (%O ago)



