Forms

Option 1: Download, fill out & return claim documentation

Download the claim form specific to your claim, complete the form(s), attach all required documentation and mail to the address shown on the form(s). If you have any questions, please contact our underwriters at the number listed below.

Visitors to Canada*

If you are insured under one of our Visitors to Canada plans and you suffered a covered sickness or injury during your period of coverage resulting in out-of-pocket expenses.

Trip Cancellation / Trip Interruption – Medical*

If your policy provides Trip Cancellation/Interruption coverage and you must cancel or interrupt your trip due to a covered injury or sickness.

Trip Cancellation / Trip Interruption – Non-Medical*

If your policy provides Trip Cancellation/Interruption coverage and you must cancel or interrupt your trip due to a non-medical reason listed as a covered risk under your policy.

Trip Delay*

If your policy provides Trip Delay coverage and your trip is delayed on or after your departure date due to a covered risk resulting in additional expenses.

Baggage Delay / Loss*

If your policy provides Baggage Delay/Loss coverage and your baggage was delayed for more than 12 hours on your way to your destination and you incurred expenses to purchase necessary personal items, or, if your baggage was lost, stolen, or damaged during your covered trip.

Rental Vehicle Damage Protection*

If your policy provides Rental Vehicle Damage Protection coverage and your rental vehicle is damaged.

Student Accident*

If you are insured under the Student Accident Plan and would like to submit a claim.

Emergency Medical*

If your policy provides Emergency Medical coverage and you suffer a covered sickness or injury during your covered trip that required emergency medical treatment resulting in out-of-pocket expenses.

Accidental Death and Dismemberment*

If your policy provides Accidental Death and Dismemberment coverage and, in the event of your loss of life, limb, sight or the complete and irrecoverable loss of your speech or hearing resulting from an injury sustained while on your covered trip, please contact our underwriter’s Client Services Department at the number below for assistance.

* Please read your policy for complete conditions, limitations and exclusions that apply.

Option 2: Call us to report a claim

You can initiate a claim by contacting our underwriters’ Client Services Department. The Client Services representative will record the initial information concerning your claim and send you the documents required along with the information on completing and submitting your claim.

Old Republic Insurance Company of Canada / Reliable Life Insurance Company
Box 557, 100 King Street West
Hamilton, Ontario
L8N 3K9

Phone
1-888-526-0111
Monday to Friday
8:30 am to 8:00 pm EST
5:30 am to 5:00 pm PST