File a Claim, Individual Insurance

Individual Insurance Claim

Step 1

Select a claim type

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 submit to us.

Are you the beneficiary or the liquidator?

Yes

Is the insured amount $250,000 or more?

Yes

I don't know

The insurance policy was purchased...

Select the province specific to the deceased

Call us at 1-800-773-8404 from Monday to Friday between 8 am and 5 pm.

Have your policy number to speed up the processing of your application.

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 (Saskatchewan)

Three possible ways to send your documents

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

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 original versions are required for authorizations for disclosure of information.

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

Three possible ways to send your documents

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

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

Three possible ways to send your documents

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

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 (Quebec) (French only)

Three possible ways to send your documents

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

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 (Alberta)

Three possible ways to send your documents

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

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 original versions are required for authorizations for disclosure of information.

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 (Saskatchewan)

Three possible ways to send your documents

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

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 original versions are required for authorizations for disclosure of information.

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

Three possible ways to send your documents

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

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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 (Saskatchewan)

Three possible ways to send your documents

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

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death

Three possible ways to send your documents

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

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 Notice of Death
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death

Three possible ways to send your documents

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

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
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 (Saskatchewan)

Three possible ways to send your documents

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

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 Notice of Death
Attach the proof of death (death certificate from the funeral home or death certificate of civil status)
Add the Physician statement – proof of death

Three possible ways to send your documents

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

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 Notice of Death
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 original versions are required for authorizations for disclosure of information.

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 (Newfoundland and Labrador)

Three possible ways to send your documents

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

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 (Newfoundland and Labrador)

Three possible ways to send your documents

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

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 Notice of Death
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 (Newfoundland and Labrador)

Three possible ways to send your documents

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

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 Notice of Death
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 (Newfoundland and Labrador)

Three possible ways to send your documents

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

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 submit to us.

Is this an overhead reimbursement?

Yes

Is it a physical or psychological condition?

Physical

Psycological

The insurance policy was purchased...

Less than 2 years ago

More than 2 years ago

Select the specific province of the insured person

Call us at 1-800-773-8404 from Monday to Friday between 8 am and 5 pm.

Have your policy number to speed up the processing of your application.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Fill the Overhead Expenses Claim Form (Insurance Select Plus/Paie)
Complete the Standard Authorization for disclosure of information

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (physical)
Complete the Standard Authorization for disclosure of information

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information
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.

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.

Fill the Direct deposit request form (recommended)
Complete the Disability claim form
- Fill the Physician’s Statement section that applies to your medical condition (psychological)
Complete the Standard Authorization for disclosure of information

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

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.

La police a-t-elle été achetée il y a moins de 2 ans?

Yes

Please select the province of residence of the insured person

Québec

Alberta

British Columbia

New Brunswick

Nova Scotia

Ontario

Fill the Direct deposit request form (recommended)
Complete the sections A, B, F and G from Claim form – Medical and paramedical fees
Attach the X-ray protocol

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 medical condition does the insured person suffer from?

Was the insurance policy purchased less than 2 years ago?

Yes

Select the specific province of the insured person

Fill the Direct deposit request form (recommended)
Complete the Compassionate leave benefit – Critical illness
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.

What medical condition does the insured person suffer from?

Was the insurance policy purchased less than 2 years ago?

Yes

Please select the province of residence of the insured person

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 for Critical Illness Insurance
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.

Attach the Physician’s Statement – Stroke
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Autism
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Cancer
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Heart attack
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Claim Form for Critical Illness Insurance
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.

Attach the Physician’s Statement – Deafness
Complete the Claim Form for Critical Illness Insurance
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.

Complete the Authorization for disclosure of information (Quebec) (French only)
Complete the Authorization for disclosure of information (Alberta)
Complete the Authorization for disclosure of information (British Columbia)

Complete the Authorization for disclosure of information (New Brunswick)

Complete the Authorization for disclosure of information (Nova Scotia)
Complete the Authorization for disclosure of information (Saskatchewan)

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.

What medical condition does the insured child suffer from?

Was the insurance policy purchased less than 2 years ago?

Yes

Please select the province of residence of the insured child

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
Complete the Standard Authorization for disclosure of information
Complete the Authorization for disclosure of information (Saskatchewan)

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 Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Stroke
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Autism
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Cancer
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Heart attack
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Coronary surgery
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Multiple sclerosis
Complete the Child Insurance – Initial Statement
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.

Attach the Physician’s Statement – Deafness
Complete the Child Insurance – Initial Statement
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.

Complete the Authorization for disclosure of information (Quebec) (French only)
Complete the Authorization for disclosure of information (Alberta)
Complete the Authorization for disclosure of information (British Columbia)

Complete the Authorization for disclosure of information (New Brunswick)

Complete the Authorization for disclosure of information (Nova Scotia)
Complete the Authorization for disclosure of information (Saskatchewan)

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.

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 submit to us.

Has the policy been purchased less than 2 years ago?

Yes

Please select the province of residence of the insured person

Call us at 1-800-773-8404 from Monday to Friday between 8 am and 5 pm.

Have your policy number to speed up the processing of your application.

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 (Saskatchewan)

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.

Online claim

(Recommended)

Claim by email, fax or mail

What type of care best fits your request?

Dental care

Medical and paramedical care

Important: If your health and dental coverage ended after September 1 and you don’t have a unique identifier, please contact us at 1-800-818-7236

Dental claim form

Three possible ways to send your documents

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

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.

Medical and paramedical fees claim

Three possible ways to send your documents

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

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 is provided through your employment or association, it is likely group insurance. You will need to submit your claim through this portal.

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

Policy on Good Business Practices

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

Need Help?

Having trouble making your claim?
We’re here to help you. Here are your options:

Make a Claim

Individual Insurance Claim

Select a claim type

I want to be guided through this process

I want to prepare the necessary documents

Three possible ways to send your documents

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I want to be guided through this process

I want to prepare the necessary documents

Three possible ways to send your documents

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Three possible ways to send your documents

I want to be guided through this process