Group Insurance Solutions

Group Insurance Solutions


Voluntary Student Accident Insurance Claims

(a) Print the required Claim Form



acrobatYou will need Adobe Reader to view and print these files. If you do not have Adobe Reader, you can download it free by clicking here.


Telephone the Student Accident Claims Department at:
Reliable Life Insurance Company
(905) 523-5587 or 1-800-463-5437 (Toll free from all locations in Canada)

(b) Parent to complete parent portion only.

(c) The attending Physician or dentist is to complete the appropriate portion of the Claim Form and attach an itemized account.

(d) Submit the completed Claim Form to:

Reliable Life Insurance Company
Student Insurance Claims Department
P.O. Box 557
Hamilton, Ontario L8N 3K9

*IMPORTANT: Reliable Life Insurance Company must be notified within 30 days of any accident. Claim forms, along with the initial dental report or physician’s statement, must be submitted within 90 days of the date of the accident or date of death. It is the entire responsibility of the parent or guardian to forward claim forms as indicated.

Universal Student Accident Insurance Claims

Claims forms can be obtained from the insurance company:

Special Markets Solutions, Industrial Alliance Insurance and Financial Services Inc.
Toll Free: 1-800-266-5667

Be sure to note/mention the policy number, which is 100005613.

Western Financial Group (Network) Inc.