SUBMITTING CLAIMS

When You Have A Claim

When you have a claim you should contact your Human Resources department who will supply you with the proper forms with instructions for completion.

In order to quickly process your claim, all claim forms should clearly indicate the following:

• your full name and address
• the name of your Employer
• your certificate number

Maritime Life Assurance Company

Time Limitations

A claim for disability income benefits must be submitted within 6 months of the end of the qualifying disability period.
A claim for a waiver of premium benefit must be submitted within 12 months of the date disabled.
Claims for other benefits must be submitted within 12 months of the date incurred.
In the event of termination of insurance, a claim must be submitted within 90 days following the date of termination of your insurance or the date following termination of a coverage or the policy.

Accidental Death and Dismemberment (policy #OKE 10 21 77) and Critical Illness (policy #CIP 10 21 77) is underwritten by ACE INA Insurance. All other benefits are underwritten and administered by Maritime Life under policy #961498 and #961499.

This information outlines the benefits of your group insurance plan but does not create or confer any contractual rights. In case of dispute, the group insurance policy issued to your employer remains the only binding document, in accordance with the provisions prescribed by law.