The Claims Process

Introduction

At Legal & General we are happy to share our claims experience with you. We know that this is a difficult time for someone who is ill or who has a bereavement and we hope the following will help you understand what is required before we can start to make a decision.

Making a Claim

To make a claim the plan must be in force with all premiums paid to date at the time of the claim. For Health claims, premiums should continue until a decision on the claim is made. We suspend payments on Death Claims as soon as we are advised of the death of a client

1. On receipt of a completed Claims Form, the case will be assigned a Claims Assessor who will be your main point of contact throughout the process

2. The person who is the claimant may nominate a third party to act on their behalf, and we will advise you if we require written permission to deal with the nominated third party

3. The Assessor will decide on the next steps having reviewed the Claims Form

4. It is likely that the majority of health claim cases will require further medical evidence from the Doctors or Consultants involved in the treatment. We will keep you informed every time we ask for information

5. The Claims Department can be contacted by telephone, letter or email - click here for contact details

6. The Claims Line is open between 9am and 5.30pm Monday to Friday. You can leave a message at any time day or night and we will get back to you – click here for contact details

7. We have a Specialist Helpline designed to offer help and advice to our clients throughout their claim period

Helpful Hints on completing the Claims Form

• By providing detailed information on the Claims Form, you will help speed up the process
• Details should be provided by telephone, letter or email direct to our Claims Department - click here for contact details
• Full details of any illness, when it started, treatment given and who has been consulted are particularly helpful