The EDGE™ - Report a Claim

Report a Claim

Use this form to initiate the claims process for Disability, Business Overhead Expense, Critical Illness, Guaranteed Issue Life, Accidental Death & Dismemberment, or Fracture Accident Benefits. Upon submission of this form, a Claims Customer Care representative will contact you or will send you a claim package within 24 to 48 business hours.

For personal assistance, please call us at 1-877-902-EDGE (3343) or email us at claimscustomercare@edgebenefits.com. The Claims Customer Care Call Centre is open Monday to Friday, 8:30 - 4:30 Eastern Time.

For Health & Dental claims inquiries and specific claim forms, contact Green Shield Canada Insurance Customer Service at 1-888-711-1119 or online at www.greenshield.ca. Health & Dental claims can also be submitted electronically by using Green Shield Canada Insurance’s Online Services, GreenShield+.

For Travel Medical Emergency (“Out of Province”) claims, you must contact Beneva Inc.'s travel assistance provider immediately if medical treatment is required during a trip.

Canada/USA Toll-Free: 1-844-780-9832

Worldwide Call Collect: 418-780-9832

If you have our Travel Medical Emergency Monthly Plan: when calling Beneva Inc. to report your claim, quote ID number 010245
If you have our Travel Medical Emergency Annual Plan: when calling Beneva Inc. to report your claim, quote ID number 010246

Client personal information

First Name:

Last Name:

Street Address:

City:

Province:

Postal Code:

Home Phone:

Other Phone:

Email Address:

Policy Number:

Date of Incident:

Type of Claim:

(Loss of Income – Injury, Loss of Income – Illness, Business Overhead Expense, Critical Illness, Guaranteed Issue Life, Accidental Death & Dismemberment, Fracture Accident Benefits)

Type of Accident/Injury:

(Work, Auto, Other)

Details regarding the loss:

Date of original submission:

I want to be contacted by phone:

Yes

Name of Advisor (if chosen):

Remarks: