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Critical illness claims

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How to make a claim

Use these forms if you have critical illness coverage through your employer/plan sponsor.

To submit a claim, follow these steps:

  • Complete a claimant statement

    You’ll need to save and complete this form in full.

  • Request a completed employer statement

    Your employer/plan sponsor needs to complete this form.

  • Request a completed physician’s report

    Select the form for your condition and ask your doctor to complete it.

Submit your claim

Once you have these three forms completed, submit these to us via email.

Not forms you're looking for? Go back to the find a form page.