Plan Administrator's Guide â List Bill - RBC Insurance

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F. How to Report ClaimsFor claims inquiries, please call RBC Insurance’s Life and Health Claims Department toll-freeat 1-877-519-9501.If your Plan does not provide some of these benefit, disregard instructions for those areas.To expedite the processing of your claim, please:■ Indicate the policy number, social insurance and certificate/identification number on all claim forms■■Answer all questions fully■■Ensure that all required statements to support the claim are submitted with the claim forms■■Forward the completed form and other pertinent data to RBC Insurance’s Life and HealthClaims DepartmentType of claimShort Term DisabilityEmployeeLong Term DisabilityEmployeeProtocol for claim submission■ Short Term Disability Claim Form(Claimant’s, Employer’s and AttendingPhysician’s Statements to be completed)■ Employer’s Statement of Employee’s earnings■ Claim form to be sent within 15 days of disability■ Long Term Disability Claim Form(Claimant’s, Employer’s and AttendingPhysician’s Statements to be completed)■ Employer’s Statement of Employee’s earnings■ Claim form to be sent as soon as possiblefollowing the date of disability, but in no eventless than 30 days prior to the end of theelimination periodLife insuranceEmployee/Dependent■ Proof of Death - Claimant’s Statement■ Proof of Death - Physician’s Statement■ Employer Statement36 Plan Administrator’s Guide — List Bill
Life Premium WaiverAccidental death & DismembermentEmployee■ Claim for waiver of premium form if stand-alone;otherwise, this will be adjudicated in conjunctionwith the Long Term Disability claim, and no separateforms are required.■ Proof of Accidental Death — Claimant’s Statement■ Proof of Accidental Death — Physician’s Statement■ Employer’s StatementNote:We will require the original registered provincial death certificate (or a certified copy) when:■■The Physician’s Statement cannot be completed■■The proceeds payable are in excess of $50,000If the beneficiary is the Estate, the Claimant’s Statement is to be completed by the Executor orAdministrator of the Estate.Plan Administrator’s Guide — List Bill37
Page 4 and 5: IntroductionThank you for choosing
Page 6 and 7: 2. Life InsuranceTo enrol new emplo
Page 8 and 9: 4. Waiving the Waiting PeriodThe Wa
Page 10 and 11: 7. Refusal of CoveragePay special a
Page 12 and 13: 2a. Change of ClassPlease refer to
Page 14 and 15: 3. Change of Name and/or Beneficiar
Page 16 and 17: 8. Terminating Eligible DependentsI
Page 18 and 19: D. Inactive Employees1. Lay-off/Lea
Page 20 and 21: E. Understanding Your Group Premium
Page 22 and 23: 4. Sample Premium CalculationsThe p
Page 24 and 25: How do I calculate Basic Life cover
Page 26 and 27: How do I calculate Dependent Life c
Page 28 and 29: How do I calculate STD coverage for
Page 30 and 31: How do I calculate LTD coverage for
Page 32 and 33: How do I calculate back-charges for
Page 34 and 35: How do I calculate back-charges/cre
Page 38 and 39: G. General1. Directory AssistanceFo
Page 40 and 41: 7. Group Insurance AuditPeriodicall
Page 42: Please note that this paragraph is

Plan Administrator's Guide â List Bill - RBC Insurance

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Plan Administrator's Guide â List Bill - RBC Insurance