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Group insurance claims

Getting the most out of your group insurance

Group insurance offers financial protection to Plan Members by covering medical expenses, providing income replacement during times of disability and illness, and ensures peace of mind for employees and their families.

Every claim is unique, so please explore the relevant section below to find specific details tailored to your situation.

Extended Health and Dental

Getting Started

Plan members can enjoy the convenience of automatic adjudication for most health and dental claims by submitting them through our Plan Member Online Claims Site or Mobile application.

To expediate your application, we encourage you to submit online. However, if you prefer manual processing, the necessary forms are available in the 'Heath and Dental' section under the 'Group Forms and Resources' page.

In provinces where the Provincial Health Plan includes drug coverage, we recommend visiting the relevant Provincial Website to obtain application forms for registering your provincial deductible.

Updates and Inquiries

While most claims can be handled through our online tools, if you have any questions feel free to contact us at 1-800-665-7076.

Disability

Getting Started

Find Required Forms: Visit the Group Forms and Resources - Disability section to find the necessary forms. These include:

  • Plan Member Statement: Filled out by you, the plan member.
  • Plan Sponsor Statement: Completed by your employer or plan sponsor.
  • Attending Physician's Statement: To be filled out by your doctor.

Remember, all claim forms must be signed by the person completing them, electronic signatures are acceptable.

Request a claims package by contacting us at:

What is Waiver of Premium? The Waiver of Premium benefit is an option for group insurance members in that it allows the premium payor to stop paying for Life Insurance, Accidental Death and Dismemberment and Critical Illness premiums in the event of disability. Only submit Waiver of Premium claim forms if not submitting a claim for Short or Long Term Disability benefits.

Submitting Information

You can submit completed forms via:

Critical Illness

Getting Started

Find Required Forms: Visit the Group Forms and Resources – Critical Illness section to find the necessary forms. These include:

  • Plan Member Statement: Filled out by you, the plan member.
  • Payment Option Form – Electronic signatures acceptable.
  • Attending Physician's Statement: To be filled out by your doctor.

Remember, all claim forms must be signed by the person completing them, electronic signatures are acceptable.

Request a claims package by contacting us at:

Submitting Information

You can submit completed forms via:

Updates and Inquiries

While most claims can be handled through our online tools, if you have any questions feel free to contact us at 1-800-665-7076.

Group Life Insurance

Getting Started

Find Required Forms: Visit the Group Forms and Resources – Life Insurance Claims section to find the necessary forms. These include:

  • Claimant Statement:Filled out by the named beneficiary.
  • Plan Sponsor Statement: Completed by the Plan Member's employer or plan sponsor
  • Proof of Death can be provided by:
    • Funeral Directors’ Statement/Certificate
    • Provincial Death Certificate
    • Attending Physician Statement
    • Medical Examiner/Coroner Report
    • Police Report
  • Payment Option Form: Filled out by the Named Beneficiary

Remember, all claim forms must be signed by the person completing them, electronic signatures are acceptable.

When a death occurs due to an Accidental cause, Our Claims Team will also consider the Accidental Death Benefit (if included in the policy) - Should an accidental death occur, our Claims Team will discuss with the beneficiary any additional information required.

Request a claims package by contacting us at:

Submitting Information

You can submit completed forms via:

Bereavement Support

We know this can be a difficult time. Support may be available to help with both the emotional and logistical aspects of loss. Learn more about Bereavement Support.

Surgical Risk Insurance

Surgical Risk Insurance (SRI) is included with group Life coverage and may provide a benefit if death occurs during a planned surgery.

Getting Started

To start a claim, the Plan Member or beneficiary should contact SAMOS Claims at claims@samos.com. The SAMOS Claims team will review the information and let the claimant know what documents are needed.

For more information about the SRI benefit, visit Surgical Risk Insurance benefit.

Accidental Dismemberment (Including Loss of Use)

Getting Started

Find Required Forms: Visit the Group Forms and Resources – Life Insurance Claims section to find the necessary forms. These include:

  • Plan Member Statement: Filled out by you, the plan member.
  • Plan Sponsor Statement: Completed by your employer or plan sponsor.
  • Attending Physician's Statement: Completed by the Dr. treating you for your injury.
  • Payment option Form: Filled out by you, the plan member.

Remember, all claim forms must be signed by the person completing them, electronic signatures are acceptable.

Request a claims package by contacting us at:

Submitting Information

You can submit completed forms via:

Updates and Inquiries

While most claims can be handled through our online tools, if you have any questions feel free to contact us at 1-800-665-7076.

Travel Assistance

Whether for work or vacation, Wawanesa provides protection and support wherever you go.

  • Before you travel: Get expert guidance and resources to prepare for your trip.
  • During your trip: 24/7 emergency support wherever you are.
  • After your trip: Assistance with claims.

Learn more

Need a claim form?

Find forms and resources to help you through submitting your claim.

Group Forms and Resources

Health and dental providers

Submit online claims directly to Wawanesa Life for Plan Members at:

providerConnect™

Have a Concern or Complaint?

If you encounter any issues, we’re committed to addressing them promptly.

Concerns and complaints