Tell us about a bereavement

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How we can help

If the plan was being paid for through a pension or company then you will also need to inform them.

You might not always feel ready to talk or remember something you forgot to ask us. That’s why we’ve created this guide that might be useful for you to read in your own time.

If you have an active policy with us, remember you have your myWellbeing benefit. The confidential counselling and advice services might offer some support at this time. Log in to your account to find this information.

There are also support groups available, and plenty of websites out there which provide advice and guidance on grief and how to get help and counselling if you need it.

Bereavement form

We're really sorry for your loss. Please complete the questions below so we can help you as swiftly as possible at this difficult time

All fields are required unless labelled optional.

Policy Detail

Policy number should match

Deceased Member
Hospital stay
Outstanding claims

Please note, any payments will depend on the Terms and Conditions of the cover available and any remaining entitlement under the plan

Next of kin

You will need to provide copy of death certificate unless you are the spouse.

Contact details
Continue cover
Payment details

Bank details for any payments due:

Declaration and indemnity from the person claiming

I declare that:

Additional information
  • Please send a copy of the death certificate and any supporting documentation from hospital or GP to confirm inpatient stay (where applicable) to [email protected]
  • We recommend that you do not send us original documents if this can be avoided
  • If you are unable to send via email, please send this information to Bereavements Team, Hambleden House, Waterloo Court, Andover SP10 1LQ.
  • Please note that some of our renewal letters and marketing mailings are produced a few weeks before they are issued. Please accept our sincere apologies should you still receive letters addressed to the deceased member in the next few weeks.