If you need access to any of our various forms, they are provided below. If your employer is a US-based company, you are likely on a plan insured by Delaware American Life Insurance Company (DelAm). If your employer is a Canada-based company, you are likely on a Voyageur Global Benefits plan. You can pick the corresponding form below but if you aren’t sure, you can check the wording on your ID card.
For all forms, click the link and then save to your computer to fill out – you can fill out completely on the computer. Type your name in the signature line to sign. Email everything to us using the contact information on your ID card or as stated within the form.
For reimbursements, fill out the Medical Claim form to submit all the information about the claim to us. Then fill out the Reimbursement form to tell us how to pay you back. Send both (preferably via email) to us.