Welcome!
Let's Make This Easy

Filing online is fast, easy, secure and convenient — the Internet is open 24 hours a day!

A few tips before you file:

• Review your policy and be sure you know exactly what is covered.

• Provide complete and accurate information; this will speed up processing.

• Keep copies of all documents, including your communications with third parties.

To file Combined Insurance claims, print the claim form instructions, then simply click and print out the appropriate form from the available list below.

Complete the form; specific sections must be completed by your employer and doctor, and mail or fax it to the appropriate address or fax number.

Should you wish more information about our claim process, please review our "Understanding the Claims Process" brochure below.

Claim Form Instructions

Claim Forms for Policies Underwritten by Combined Insurance

The Policyholder Claim Form should be used for a new claim. If your claim has already been submitted and more information is required, please use the Supplemental Claim Form.

Claim Forms for Policies Underwritten by Chubb Life

If your life policy starts with TL, click the links below to start your claims process.

Additional Forms

Get real-time updates on the status of your claim. Type in your claim number carefully!

A few tips, before you begin your claim submission:

• Review your policy and be sure you know exactly what is covered.
• Provide complete and accurate information; this will speed up processing.
• Keep copies of all documents, including your communications with third parties.

Access Your Account

With Combined Insurance you’re covered 24x7x365. And with online access, you can view your account information anytime you want to. You’ll be able to see your policies, payment history and claim information. You can also update your account details and make convenient online payments. It’s user-friendly, 100% accurate and always there when you need it.

Why Should I Register?

• Register for Self Service today and take advantage of all the benefits:
• Easy access when you want it... 24 hours a day, 7 days a week, 365 days a year!
• Instant access to your policies, payment history and claim information.
• Update your personal information — address, phone, e-mail address and last name.
• Make an online payment (automatic bank withdrawal or credit card).

We strive to provide you with the best customer service we can. To do that, we need your help. If you've recently experienced a life change – marriage, divorce, new baby, moved to a new home – please let us know.se let us know.

Underwritten by Combined Insurance

It's easy. Choose the information you'd like to change from the links below. Download and print it to complete:

Underwritten by Chubb Life

For your Platinum Term Life policy, which is underwritten by Chubb Life Insurance Company of Canada ("Chubb Life"), choose the information you'd like to change from the links below. Download and print it to complete:

Mail the Completed Form(s) to:

Combined Insurance
P.O. Box 3720 MIP
Markham, Ontario L3R 0X5

If you have questions or would like assistance completing these forms, our customer service representatives are available weekdays, 8:00 a.m. - 7:00 p.m. EST. We're happy to assist you.

Toll-free: 1 888 234-4466
Fax: 1 905 305-8600

*For policies issued in Quebec, if you have named your spouse (married or civil union) as a beneficiary, the designation is Irrevocable unless you selected Revocable. For policies issued in all provinces except Quebec, all beneficiary designations are Revocable unless you selected Irrevocable.A revocable beneficiary is one that may be changed at any time by the policyholder without the knowledge or consent of the present beneficiary.An irrevocable beneficiary designation means that the policyholder cannot change any aspect of the insurance policy without the written consent of the present beneficiary.

At Combined Insurance, our mission is to make insurance easy – whether you are selecting a policy, managing your premiums or filing a claim. The forms and documents below will help you get done what you need to do – quickly and easily.

File a Claim

It's easy. Choose the information you'd like to change from the links below. Download and print it to complete:

Additional Forms and Documents

With our self-service policyholder website, you have access to Combined Insurance at any hour, any day of the year.

Our customer service representatives are available during usual business hours and ready to help.

Canada

Toll-free: +1 888 234-4466
Fax: +1 905 305-8600
Monday through Friday 8:00 a.m. - 7:00 p.m. EST

Please note:

By entering your name, phone number, and clicking "Submit," you are

1) electronically signing this form and

2) consenting to Combined Insurance ("our," "us" or "we") making autodialed calls to you at the landline or wireless phone number(s) you provide.

You are not required to provide such consent as a condition of purchasing Combined Insurance products.

This consent will not be available in paper form; you are encouraged to print this form for your records.

This consent only authorizes us to call you at the phone number(s) you provide in response to this request for information.

If you wish to inquire about Combined Insurance products without submitting your information online,call us at
1 888 234-4466.