![]() Dependent children are covered first by the plan of the parent whose birthday falls earlier in the year.Your spouse's claims should go to his or her plan first, with any remaining balance sent to your plan.Submit your claim under your plan first, and send any remaining balance to your spouse’s plan.If you or your dependents are covered under more than one benefit plan (for example, your spouse's plan), you can claim up to 100% of an eligible expense by coordinating your benefits under both plans. RBC Life Insurance Company, Life & Health Claims Department The form can be returned directly to RBC Insurance once completed.Ĭomplete the following sections within this form: Complete and sign the Authorization section on the Attending Physician’s Statement, and send this form to your treating physician for completion.Complete the Claimant’s/Employee’s Statement section within this form and return to your employer.Please follow these steps to complete and submit this form: Note: The form also includes sections that must be completed by the insured individual’s employer and physician. When an insured individual is making a claim for dismemberment, loss of use, loss of sight, etc., he or she will need to complete the appropriate sections of this form. Loss of Use / Dismemberment Notice of Claim Opens PDF in new window Note: You can also check your eligibility for this benefit and access pre-populated forms through the Online Group Benefit Solutions service for Plan Members. ![]() Reimbursement will be sent directly to you. If you have the Deferred Payment option, you must pay your dentist in full and your dental office can then submit the claim to us electronically. Your dentist may also be able to submit claims to us on your behalf, and confirm if you owe any amounts due to deductibles and reimbursement levels. Send the completed form, along with your original, fully paid receipt, to:īe sure to keep a copy of your receipt for your records. This can help avoid surprises and out-of-pocket expenses in case a certain service isn’t covered. We recommend that you also submit a pre-determination to us first before you receive any service valued over $300. On maternity or paternity leave but capable of performing the regular durties of your employment or occupation ORĮmployed seasonally for at least 20 hours a week during the work season, which has a beginning and end, and you have a proven work history as a seasonal employee, you expect to return to the same occupation the next season and you are currently capable of performing the regular duties of your seasonal employment.Dental Claim Form Opens PDF in new windowĬomplete this form to submit a claim for dental services. Note: You cannot be insured for both critical illness and disability insurance at the same time on the same mortgage.ġ) Engaged in full-time employment (including self-employment), consistently working at least 20 hours a week, for which you are paid a salary or wages OR To apply for HomeProtector Critical illness insurance, you must also: Be actively working on the date of your application.Have HomeProtector life insurance coverage and.To apply for HomeProtector Disability insurance, you must also: A Canadian resident (living in Canada at least six months out the year).Either a borrower, co-borrower or guarantor of an eligible RBC Royal Bank mortgage and.To apply for HomeProtector Life Insurance, you must be: Eligibility Requirements for RBC Royal Bank HomeProtector Insurance
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