If you had tests done, or if you saw a specialist for your condition, be sure to have your doctor send us copies of all results, consultation or clinical notes, and hospital records with the completed form. Attending Physician's Statement of Disability Opens PDF in new window: Your doctor must complete this form.Employer's Statement of Disability Opens PDF in new window: Your employer must complete this form and submit it directly to RBC Insurance.Be sure to sign the section that authorizes us to communicate directly with the doctors and specialists who are treating you. Provide as much detail as possible about the circumstances that led to your absence from work. Client's Statement of Disability Opens PDF in new window: You will need to complete this form.Submit the EOB statement, along with copies of your expense receipts, to the second insurance company in order to claim any remaining eligible balance. You will receive an Explanation of Benefits (EOB) statement from the first insurance company you file with showing how much of the claim has been covered.So, if your birthday falls in January and your spouse's birthday is in March, you should submit your child’s claims to your plan first. Dependent children are covered first by the plan of the parent whose birthday falls earlier in the year.Your spouse's claims should go to his or her plan first, with any remaining balance sent to your plan.Submit your claim under your plan first, and send any remaining balance to your spouse’s plan.If you or your dependents are covered under more than one benefit plan (for example, your spouse's plan), you can claim up to 100% of an eligible expense by coordinating your benefits under both plans. RBC Life Insurance Company, Life & Health Claims Department The form can be returned directly to RBC Insurance once completed.Ĭomplete the following sections within this form:
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