 |
 |
 |
| Death |
 |
| Death - Claimant's Statement (F55-21A) |
 |
For all claims following the death, for policies that have been in force for less than ten years or for which the insurance amounts are higher than $50,000 |
 |
| Death - Claimant's Statement - Simplified Version (F55-21A(2)) |
 |
For all claims following the death for policies that have been in force for at least ten years without interruption and for which the insurance amounts are $50,000 or less |
 |
| Proof of Death-Attending Physician's Statement (F55-22A) |
 |
For all claims following a death and meeting the following criteria:
- Policy $200,000 and more
- Policy $100,000 or more if issued or reinstated in the last 10 years
- Policy $50,000 or more if issued or reinstated in the last 5 years
- Policy issued or reinstated in the last 3 years for any amount
|
 |
 |
 |
 |
| Critical Illness |
 |
| Critical Illness (F37-20A) |
 |
For all claims under a critical illness coverage |
 |
 |
 |
 |
| Disability |
 |
| Disability - Claimant's Statement (F35-55A) |
 |
For all claims under a disability coverage |
 |
 |
 |
 |
| Accidental Fracture |
 |
| Accidental Fracture - Claimant's Statement (F37-18A) |
 |
For all claims under an accidental fracture coverage for your life insurance policy |
 |
 |
 |
 |
| Accident Insurance |
 |
| Accifamily (F13-175A) |
 |
For all claims under an Accifamily accident insurance held personally |
 |
| Accigroup (F13-175A(1)) |
 |
For all claims under an Accigroup or Accigroup Plus accident insurance provided through an organization |
 |