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File a Claim - Online

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.
 
 
 
 
Start my claim

 

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File a Claim by Mail or Fax

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

 

 

File a Claim Instructions Understanding the Claim Process Consent to Electronic Transactions, Payments and Signature

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.

 

Policyholder Generic Claim Form Income Guard Claim Form Supplemental Claim Form Confirmation of Absence from School Proof of Death-Accident Proof of Death-Life

Claim forms for policies underwritten by CHUBB LIFE

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

 

Proof of Death, Platinum Term Life Statement of Lost Policy, Platinum Term Life

Additional Forms

Record of Hospital Care for Hospitalization Policy Record of Hospital Care for Cancer Policy Certificate of Employer

Mail your claim to:

 

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

Fax your claim to:

Fax: 905 754-4362

Check Claim Status

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.
 

Please click the button below to log into your account and check your claim status.

Find claim status

 Do you have any questions?

 

Contact Us

 

 

Online Account Login

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.

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.

Log in to My Account

Easily access your account for your policy details, payment history, claim status and more.

 

Log In To My Account

Create an Account

Setting up your account is easy. And you’ll get access to your policy details, payment history, claim status and more.

 

Set up My Account

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)

Change Customer Information

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.

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:

 

 

 

 

 

 

 

 

 

 

Authorization to Release Information to Third Party Change your address Change of ownership - Accident and Sickness Change of beneficiary - Accident and Sickness Change of beneficiary - Life Change of ownership - Life Request for name change

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:

 

 

 

 

 

Change your address Change of beneficiary Change of ownership Request for name change

All Policies

For all of your policies, any changes to your bank information can be made by selecting the link below. Download and print it to complete:

Change your bank information

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.

Forms and Documents

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

Claim Form Instructions

 

 

File a claim instructions Understanding the claim process Consent to Electronic Transactions, Payments and Signatures

Underwritten by Combined Insurance

 

 

 

 

 

 

 

Policyholder generic claim form Income guard claim form Supplemental claim form Confirmation of absence from school Proof of Death-Accident Proof of Death-Life
Record of Hospital Care for Hospitalization Policy Record of Hospital Care for Cancer Policy Certificate of Employer

Underwritten by CHUBB LIFE

 

 

Proof of Death, Platinum Term Life Statement of Lost Policy, Platinum Term Life

Additional Forms and Documents

Customer Privacy

Ten principal of confidentialilty.

About Combined Insurance

 

 

Consumer complaint procedures. Need assessment.

All policies

Change your bank information

Change Information

Underwritten by Combined Insurance

 
 
 
 
 
 
 
 
 
 
Change your address Change of ownership-Accident and Sickness Change of beneficiary-Accident and Sickness Change of beneficiary-Life Change of ownership-Life Request for name change

Underwritten by Chubb Life

 
 
 
 
 
 
Change your address Change of beneficiary Change of ownership Request for name change

Policyholder Support

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

Click here to log in.
Contact form

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

Canada

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