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Group insurance claims

Need to submit a group insurance claim? Find out how.

Before you start

Check your insurance booklet to see if the expense is covered.

Make sure you submit healthcare claims within 12 months of receiving the service.

Keep a copy of the receipt in case your claim is audited.

For health expenses expected to go over $500, submit a treatment plan first.

How to submit a claim

  Types of claim – ways available to submit
Type of claimSecure siteOmni appPayment cardClaim form
Healthcare professionals Available Available Available Available
Vision care Available Available Available Available
Dental care Available Available Available Available
Prescription drugs Available Available Available Available
Other medical expenses (devices, equipment, etc.) Available Available Not available Available
Wellness account Available Available Not available Available
Travel insurance Not available Not available Not available Available
Disability / Death / Critical illness / Dismemberment or loss of use Not available Not available Not available Available

Have a health spending account?

You can use your health spending account to pay for medical and dental expenses not covered or not completely covered by your plan.

See how health spending accounts work

Online

Submitting online claims is easy with our secure site and the Omni app.

Secure site

You can submit claims for all healthcare services, including drug expenses, vision care, dental care and your health and wellness accounts.

Log in to your group insurance account

Omni app

You can submit claims for all healthcare services, including drug expenses, vision care, dental care and your health and wellness accounts.

Download the Omni app

Sign up for direct deposit

To submit a claim online, sign up for direct deposit first. Go to the secure site (in the Quick links section) or the Omni app.

Payment card

With your payment card (Desjardins Insurance card), eligible healthcare expenses can be paid for right away. 1

Good to know

You can add your payment card to Apple Wallet on your iPhone.

How to use your card

Show your payment card to your pharmacist, dentist or healthcare professional. If they participate in the direct payment program, we pay the portion covered by your plan right away, and you pay the difference.

You get a receipt showing the claim amounts, which you can keep for tax purposes.

Where to find your card

You can find your card in the Omni app or on our secure site (under Your account).

Claim form

For some types of expenses, you need to submit a claim form.

Good to know

You can save time by using the pre-filled forms on our secure site.

Under Submit a claim, select Claim forms.

3 steps of the claims process

  1. Documenta­tion

    Fill out the appropriate form (or forms) and gather the required supporting documents. Send everything online or by mail (address listed on the form).

  2. Analysis

    Once we receive the required documents, we review your claim. Then we contact you to let you know if your claim is approved.

  3. Payment

    If your claim is approved, you receive your payment based on the terms of your plan and on your preferred method (cheque or direct deposit).

Find the right claim form

Travel insurance

You can submit a claim online or by mail for:

  • Emergency healthcare
  • Accident while travelling
  • Trip cancellation
  • Baggage (damaged, lost, etc.)

Find the right claim form

Disability

If you have any questions, see our Disability claims guide This link will open in a new window. or call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.

Initial forms

Submit each completed form as soon as you can. You don't need to submit all 3 forms at once.

If you have a doctor's note, send it to us so we can add it to your file.

Disability or waiver of premium claim – 06329E (PDF, 1.55 MB)
Disability or waiver of premium claim – Employer's statement – 08317E (PDF, 1.61 MB)
Disability claim – Initial attending physician's statement – 02025A (PDF, 1.14 MB)

Other form

Attending physician's additional report – 02026A (PDF, 1.14 MB)

Critical illness

If you have any questions, call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.

Make sure you understand your coverage and the definitions of the critical illnesses, as well as any limitations and exclusions that apply. That way, you'll know if your condition is eligible for a payment.

Critical illness insurance guide (PDF, 1.27 MB)
Critical illness claim – 170252A (PDF, 192 KB)
Critical illness claim – Employer's statement – 12123E (PDF, 1.34 MB)
Critical illness claim – Attending physician's statement – 17026A (PDF, 769 KB)

Accidental death and dismember­ment

If you have any questions, call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.

Make sure you understand your coverage, the schedule of losses and any limitations and exclusions. That way, you'll know if you're eligible for a benefit.

Accidental dismemberment or loss of sight claim – 02809A (PDF, 1.37 MB)
Accidental dismemberment or loss of sight – Employer's statement – 12123E (PDF, 1.34 MB)

Contact us

You'll need your group and certificate numbers.

By phone

Monday to Friday: 8 AM to 8 PM (Eastern Time)

1-800-263-1810 Phone number of Desjardins Insurance. This link opens your phone app.

Group insurance products are manufactured by Desjardins Financial Security Life Assurance Company.
To find healthcare professionals who participate in the direct payment program, seeTELUS Health eClaims.