Making a Group Critical Illness claim
1. Notify us about a claim
Claims can be made by completing our online Claim Notification Form
2. Member claim form
When we receive the Claim Notification Form we may contact the insured person and ask them to complete a Member Claim Form. The insured will be able to complete this online if we are provided with their email address on the Claim Notification Form.
3. Claims management
We’ll assess the information we receive to check if further details are required to support the claim. We’ll also need medical information to help us check the claim against the insured condition definition as well as our pre-existing and related conditions exclusions. This medical information could be a report from the insured person’s doctor or medical consultant. We’ll pay the cost of any medical reports we ask for.
For most insured conditions we’ll pay the lump sum if the insured person survives for 14 days after meeting the definition for the insured condition.
4. Claim payments
Payment is made to the employee usually within 5 working days of a claim being accepted.
What to expect
Tell us who the claim is for
Complete and return the claim form.
Claim reviewed
We will contact the person covered and their doctor for more details.
Payment
Accepted claims are usually paid to the person covered within 5 working days.
Need help?
Group protection claims team
0345 026 0094
and choose option 3
Claims appeals
If an employer disagrees with a decision we make about a claim, they can appeal.