Make a claim
The best way to start the claim process is for the person making the claim to talk to your Financial Broker or to contact us to find out what they need to do.
Our approach to claims
It is our practice to assess all claims promptly, efficiently and fairly. All valid claims, once admitted, will be paid without delay.
Making a claim
Your policy must be in force, with all premiums paid, at the time of the claim. The person making the claim will need to request a claim form from your Financial Broker or from our claims team. Once completed, the person making the claim should return the form along with the items listed below.
Your Policy Schedule and Policy Conditions will outline the benefits that are covered/insured urnder your policy.
Reviewing a claim
Our team will asses the claim once we've received the completed claim form and relevant documentation. In some circumstances, this can include information from GPs or specialist consultants.
Paying a claim
Once we are in receipt of all of the relevant documentation, and the claim is valid, we will issue payment of the claim amount either to you directly, or to the person(s) legally entitled to receive it.
Declining a claim
Although the vast majority of claims are paid, (98% in 2024), some claims may be declined and the benefit not paid or paid only in part.
Some of the most common reasons for declining a claim are misrepresentation within the application, illnesses which don’t meet the policy definition, illnesses which are not covered by the policy or if the exclusions under the policy prohibit payment of benefit.
If we decline a claim, or don’t pay it in full, we will write to you to explain the reasons why.
Documents needed
The best way to start the claim process is for the person making the claim to talk to your Financial Broker or to contact us to find out what they need to do.
Generally, to pay a claim quickly we need the person making the claim to provide the following items:
Life Cover claim
You will need to send us:
- A completed claim form - signed and dated.
- A certified copy of the death certificate and evidence of who is entitled to receive the payout.
- E.g. A will and grant of probate or letters of administration.
- If the claim is less than €100,000 and a will has been left, we can issue a Waiver of Probate form. For claims over €100,000 we will require a certified copy of the Grant of Probate.
- Proof of age of the person covered by the policy.
- E.g. A certified copy of photo identification like your passport, driver’s license or birth certificate.
- Proof of address of the person covered by the policy.
- E.g. A utility bill that’s no older than 6 months, a car or home insurance policy or government-issued document which shows your address.
- Proof of any change of name of the person covered by the policy.
- E.g. A certified copy of your marriage certificate if you changed your name when you got married or if you changed your name by deed poll.
- In some circumstances, some medical evidence that we reasonably require to assess the claim.
- If your policy is assigned, the original Deed of Assignment from your bank or building society.
Specified Serious Illness cover claim
You will need to send us:
- Proof of age of the person covered by the policy.
- E.g. A certified copy of photo identification like your passport, driver’s license or birth certificate.
- Proof of address of the person covered by the policy.
- E.g. A utility bill that’s no older than 6 months, a car or home insurance policy or government-issued document which shows your address.
- Proof of any change of name of the person covered by the policy.
- E.g. A certified copy of your marriage certificate if you changed your name when you got married or if you changed your name by deed poll.
- Confirmation of the condition being diagnosed.
- E.g. A letter from your consultant.
- If your policy is assigned, the original Deed of Assignment from your bank or building society.
For Specified Serious Illness cover claims, it is very important that you continue to pay your policy premiums until a decision is made on your claim.
Multi-Claim Protection Cover claim
You will need to send us:
- A completed claim form - signed and dated.
- Proof of age of the person covered by the policy.
- E.g. A certified copy of photo identification like your passport, driver’s license or birth certificate.
- Proof of address of the person covered by the policy.
- E.g. A utility bill that’s no older than 6 months, a car or home insurance policy or government-issued document which shows your address.
- Proof of any change of name of the person covered by the policy.
- E.g. A certified copy of your marriage certificate if you changed your name when you got married or if you changed your name by deed poll.
- Confirmation of the treatment you are being referred for or the condition being diagnosed.
- E.g. A letter from your consultant.
- For death claims, a certified copy of the death certificate and evidence of who is entitled to receive the payout.
- E.g. A will and grant of probate or letters of administration.
- If the claim is less than €100,000 and a will has been left, we can issue a Waiver of Probate form. For claims over €100,000 we will require a certified copy of the Grant of Probate.
Personal Income Protection claim
The first step in making a claim is to let us know immediately about your change in situation, either by contacting us directly or through your Financial Broker.
We will then issue a claim form, which you must complete and return to us before we can consider a claim.
On the claim form, it will ask you questions about your illness or injury and your occupation and income. It will also ask about any other types of income or entitlements you may have, including any other insurance policies.
In addition to the claim form, we will also ask for information and documentation that we reasonably require to assess the claim. Full details of the information we may require are contained in the policy conditions.
We will pay the cost of all reports or evidence requested by us except the cost of obtaining at any time medical certificates from the doctor who has
treated or examined you in respect of the disability.
In general, when we receive your claim, your ability to carry out your normal job following your illness or injury is assessed. Claims are reviewed to ensure they meet the definition of disability – in basic terms, the inability to work because of illness or injury – as shown in the policy conditions.
Executive Income Protection claim
The first step in making a claim is to let us know immediately about any change in situation for your employees, either by contacting us directly or through your Financial Broker.
We will then issue a claim form, which you must complete and return to us before we can consider a claim.
On the claim form, it will ask you questions about your employee’s illness or injury and their occupation and income. It will also ask about any other types of income or entitlements they may have, including any other insurance policies.
In addition to the claim form, we will also ask for information and documentation that we reasonably require to assess the claim. Full details of the information we may require are contained in the policy conditions.
We will pay the cost of all reports or evidence requested by us except the cost of obtaining at any time medical certificates from the doctor who has
treated or examined your employee in respect of the disability.
In general, when we receive your claim, your employee’s ability to carry out their normal job following an illness or injury will be assessed. Claims are reviewed to ensure they meet the definition of disability – in basic terms, the inability to work because of illness or injury – as shown in the policy conditions.
Making a claim following a terminal illness diagnosis
If you have been diagnosed with a terminal illness and want to make a claim, please contact us directly. We’ll explain what you need to give us so that we can pay your claim as quickly as possible, in line with your policy conditions.
Appealling a claim decision
If you believe that the information that we relied on to make our claim decision is inaccurate or that our decision is wrong, you can appeal against it.
To do this, you need to write to us and include:
- The reason you believe your claim is valid and should paid.
- Any evidence, not already provided to us, which supports your appeal.
- Any evidence that the information our team obtained to assess your claim contains inaccurate information.
Contact our claims team
01 4293470
You can also email us at service@royallondon.ie.
To write to us, please post to: Royal London Ireland, 47–49, St Stephen’s Green, Dublin 2