Life insurance claim
We are truly sorry for the loss of your loved one and offer you our sincerest condolences. We are here to help you through this process.
Note: The information you enter cannot be saved or kept in draft form, so please complete the form in one go. If you leave the session before completing the form, you will have to start over.
Before you begin, make sure you have the following information at hand:
- Information regarding the deceased (e.g., date of birth, marital status, date of divorce if applicable)
- Information regarding their death, including the date, cause and funeral home contact information
- The insurance policy number (if available)
- The names and contact information of any beneficiaries you think, to the best of your knowledge, may receive an insurance amount. Addresses are required as cheques are sent by mail.
At this time, you have no documents to submit.
Privacy
To ensure the processing of the claim, iA Financial Group, its affiliates and its reinsurers use the personal information concerning you and the deceased person collected in the course of the claim and may, if necessary, disclose it to certain third parties.
You can withdraw your consent at any time. However, please note that such withdrawal could result in the claim not being able to be processed. To learn more, please visit iA Financial Group’s Privacy Notice.
Person filling out this claim form
Beneficiary authorization required
You may complete this form, but to ensure the accuracy of the information entered,
it would be preferable to have it completed by one of the beneficiaries or the liquidator.
By completing this form, you confirm that you have received the authorization of the beneficiary or the liquidator.
Advisor informations
Agency informations
Please make a selection.
Single form for all beneficiaries
This form allows you to enter information for all potential beneficiaries to avoid submitting multiple claims.
Person to contact for claim follow-up
Follow-up will be carried out by email. If you wish, you can delegate the follow-up to another person.
Will you be the person handling the follow-up of the claim?
Please make a selection.
Person to contact for claim follow-up
Please enter the information of a beneficiary, liquidator or duly mandated lawyer or notary.
Do not enter your own email address
Please enter the email of the person who will be responsible for the follow-up.
If you are the advisor on file, the follow-up of this claim will be available to you in your Business Tracker in the Advisor Centre.
About the deceased
Please enter a valid date.
Please enter a valid date.
If the claim pertains to more than one insurance policy, enter all policy numbers.
This information could help us speed up the claim review.
Please make a selection.
E.g.: breast, liver, prostate, lung, benign brain tumour.
E.g.: heart attack, congenital heart defect, angina, heart failure, cardiac arrest.
E.g.: emphysema, tuberculosis, pulmonary edema, COPD (chronic obstructive pulmonary disease).
E.g.: cirrhosis of the liver, intestinal obstruction, kidney failure, gastroenteritis.
E.g.: amyotrophic lateral sclerosis, multiple sclerosis, Parkinson’s disease, muscular dystrophy, epilepsy.
E.g.: stroke, Alzheimer’s disease, encephalitis.
E.g.: meningitis, influenza, COVID-19, septicemia, pneumonia, HIV.
If you do not know which category to use, specify the cause of death here.
Please specify the type of cancer or tumour.
Please specify the disease.
Please enter the cause.
How the death was declared, where it occurred, the probable cause or any other relevant information.
Please specify the circumstances of the accident.
Please specify the circumstances of the death.
Please make a selection.
Please make a selection.
DEATH IN A FOREIGN COUNTRY
Since the death occurred in a foreign country, you will need to provide certain original documents. Additional time will be required to process the claim. We will let you know which documents to provide when the time comes.