Chubb Life's Premium Reporting Forms are designed to assist you with calculating and submitting your premiums. Please open the Excel document below and follow the instructions on the first cell sheet. When complete, please submit your Premium Report Form along with your cheque payable to Chubb Life Insurance Company of Canada to the address noted on the form.

 

AD&D Premium Reporting Form - Basic 

 

AD&D Premium Reporting Form - Basic & Vol

 

Basic and Dependent Life Premium Reporting Form

 

Critical Illness Premium Reporting Form

 

CO Premium Reporting Form

 

Hospital Cash Premium Reporting Form 

 

OA Premium Reporting Form

Have any questions?

Contact Chubb Life's administrative team at Canada.ChubbLife@Chubb.com.

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