All claims for the CUMIS Travel Insurance Program are administered by TIC Travel Insurance Coordinators Ltd. Claims and Emergency Assistance. Please contact them directly or download the appropriate form below and mail in to the address listed below.
Important: In the event of a medical emergency, TIC Emergency Assistance must be notified prior to any surgery being performed or within 24 hours of admission to a hospital. Emergency Medical Travel Assistance is available 24/7, by calling any of the following numbers:
Toll free within Canada/USA: 1-800-995-1662
Toll free International: 800-842-08420 or 00-800-842-08420 (if not available, please call collect)
Collect worldwide: 416-340-0049
2100 - 250 Yonge St.
Toronto, ON, Canada M5B 2L7
Travel Claims Forms
Please note: Some of these claim forms are formatted for 8 ½ x 14 (legal) size paper. Printing on smaller paper sizes may result in formatting errors, however the forms are still valid for use as a claim form.
Hospital and Medical Claims
British Columbia Residents
Application for Insurance Benefits
Northwest Territories/Yukon/Nunavut Residents
Prince Edward Island Residents
Trip Cancellation/Interruption Claims
Trip Cancellation & Interruption
Flight Accident and AD&D Claims
Flight Accident and Accidental Death & Dismemberment
Emergency Hospital & Medical for Canadians Medical Certificate
Release of Information Forms
Note: Presenting a false claim is a fraudulent act and will be reported to the Insurance Crime Prevention Bureau.
Effective January 1, 2015: This product is underwritten by CUMIS General Insurance Company, a member of The Co-operators group of companies, and administered by Allianz Global Assistance. Allianz Global Assistance is a registered business name of AZGA Service Canada Inc. and AZGA Insurance Agency Canada Ltd. AZGA Service Canada Inc. is the successor by amalgamation to TIC Travel Insurance Coordinators Ltd. AZGA Service Canada Inc. is a member of the Allianz Group.