How to File a Claim

1. Print out a claim form.
2. Complete page 1 of the claim form. If the insured child is a minor, this form should be completed and signed by a parent or guardian.
   • For non-dental claims: please have the Physician complete the Attending Physician's Statement on the second page of this form.
   • For dental claims: please have the Dentist complete the Dental Claim form on the third page of this form.
   • The company must be notified within 60 days of the date of the accident and proof of claim, including a report from the attending Doctor or Dentist, must be submitted within 90 days of the date of the accident.
3. Submit claim form to the following address:
   
   Reliable Life Insurance Company
   insuremykids® Claims Department
   P.O. Box 557
   Hamilton, ON L8N 3K9