Make a claim | Humania assurance Réclamation assurance collective

Group insurance claim

Step 1

Select a claim type

I want to be guided through this process

We understand that making a claim about tragic event on your own can be difficult. That’s why we’re here to help if you feel the need.

I want to prepare the necessary documents

Answer a short questionnaire so we can tell you what you need to send us.

Is the insured amount equal to or greater than $50,000?

Yes

I don't know

Has the insurance policy been in effect for less than one year?

Yes

I don't know

Please select the province of residence of the deceased person.

Call us at 1-877-987-3076 Monday to Friday between 8 a.m. and 5 p.m.

Have your policy number on hand to speed up the processing of your request.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Humania Assurance highly recommends the transmission of your request, as well as related documents or information, through the web process, secure electronic channels or by mail to ensure the highest level of security relating to the protection of personal information.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death
Authorization for disclosure of information by a third party (Ontario) (Important: read the instructions)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death
Add the Authorization in the event of death

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Authorization in the event of death
Authorization for disclosure of information by a third party (Ontario) (Important: read the instructions)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Submit my claim online

Submit my request by email, fax or mail

What type of care best fits your request?

Dental care

Medical and paramedical care

Fill out the Dental claim form

Some treatments require a physician’s declaration and cannot be claimed online: Accident-related treatments, Removable prostheses, Fixed bridges, Crowns, Veneers, Inlays.

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

health.claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Fill out the Medical and paramedical fees claim

Medications

Receipts must indicate the patient’s name, the name of the medication, and the drug identification number (DIN).

Medical and Paramedical Care

Receipts must indicate the name and address of the specialist and separately indicate the costs of each visit or examination, along with associated costs. Refer to your booklet to understand your coverage for professional care (chiropractor, physiotherapist, and others). Please attach the medical recommendation when required by your contract.

Vision Care

Receipts must indicate the name and address of the specialist and separately indicate the costs of contact lenses, corrective lenses, frames, vision exams, and the date of each.

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

health.claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

I want to be guided through this process

We understand that making a claim on your own can be difficult. That’s why we’re here to help if you feel the need.

I want to prepare the necessary documents

Answer a short questionnaire so we can tell you what you need to send us.

Has the insured person been covered by the insurance policy for less than one year?

Yes

Please select the province of residence of the insured person

Call us at 1 877 987-3076 Monday to Friday between 8 a.m. and 5 p.m.

Have your policy number on hand to speed up the processing of your request.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information by a third party (Ontario) (Important: read the instructions)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claimant’s Statement – Dismemberment
Attach the Physician’s Statement – Dismemberment
Complete the Standard Authorization for disclosure of information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

I want to be guided through this process

We understand that making a claim on your own can be difficult. That’s why we’re here to help if you feel the need.

I want to prepare the necessary documents

Answer a short questionnaire so we can tell you what you need to send us.

Is it a physical or psychological condition?

Physical

Psychological

Has the insured person been covered by the insurance policy for less than one year?

Yes

Please select the province of residence of the insured person

Call us at 1-877-987-3076 Monday to Friday between 8 a.m. and 5 p.m.

Have your policy number on hand to speed up the processing of your request.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (Quebec) (French only)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (Alberta)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (British Columbia)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (New Brunswick)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (Nova Scotia)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information (Ontario)

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Physical Illness
Complete the Standard Disclosure Authorization

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Physical illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Fill out the Disclosure Authorization – Quebec

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information – Alberta

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information – British Columbia

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information – New Brunswick

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information – Nova Scotia

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Enroll in Direct deposit
Complete the Applicant’s Declaration – Disability
Fill out the form: Psychological Illness
Complete the Standard Disclosure Authorization
Complete the Authorization for disclosure of information – Ontario

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

- Enroll in Direct deposit
- Complete the Applicant’s Declaration – Disability
- Fill out the form: Psychological Illness
- Complete the Standard Disclosure Authorization

Please note that depending on the progress of your file, your analyst may ask you to complete additional reports.

Psychological illness
Notice of return to work
Employer’s confirmation – Gradual return to work (Document to be completed by the employer in case of a gradual return to work)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

What type of serious illness does the insured person suffer from?

Has the insured person been covered by the insurance policy for less than one year?

Yes

Please select the province of residence of the insured person

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke
Authorization for disclosure of information by a third party (Ontario) (Important: read the instructions)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Attach the Physician’s Statement – Stroke

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Complete the Applicant’s Declaration – Autism
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Cancer
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Heart attack
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Quebec) (French only)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Alberta)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (British Columbia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (New Brunswick)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Nova Scotia)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information
Complete the Authorization for disclosure of information (Ontario)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Attach the Physician’s Statement – Deafness
Complete the Claim form – Claimant’s Statement
Add the Standard Authorization for Disclosure of Information

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Request by mail, fax, or email

Complete the Compassionate Care Leave – Claim Form
Complete the Direct deposit request form (recommended)

Three possible ways to send your documents

Please note that only the original versions of the disclosure authorizations are required.

claims@humania.ca

Fax

450-778-2519

Mail

Humania Assurance Inc.
1555 Girouard Street West
St-Hyacinthe (Quebec) J2S 2Z6

Please note that the processing of your claim may be delayed if you do not provide all the required documents.

Transmission of confidential information via email does not ensure the same level of information security and is therefore strongly discouraged.

Are you in the right place?

If your insurance isn’t provided through your employment or association, it is likely an individual insurance policy. You will need to submit your claim through this portal.

For a current claim follow-up, please fill in this form.

Good Business Practice Policy

In accordance with its firm commitment to the fair treatment of customers, Humania Assurance has established the Claimant’s Charter of Rights and Responsibilities.

For a follow-up request concerning a current claim, please complete this form.

Having trouble with your claim?

We’re here to help. Here are your options: