Employee benefits

For employees covered for Group Life, Disability, Supplemental Health or Dental at work.

How do I submit a group life claim?

We would like to offer our sincere condolences for your loss. If your loved one has benefits with Sun Life, call us at 800-247-6875, Monday through Friday from 8 am to 8 pm ET and we can help you with your claim.

Information we will need:

  • Copy of the death certificate
  • Beneficiary designation (your loved one’s employer should have this information)

We will reach out to your loved one’s employer for any additional information we need.

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Get the status of my claim?

Call 800-247-6875 and follow the prompts for automated service to track the status of your Life claim.

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How do I start a Waiver of Premium claim?

Waiver of Premium is a provision that allows Group Life Insurance coverage to continue without premium payments if you become totally disabled, as defined by the policy. Once approved, coverage continues without further premium payment from you or your employer until you reach the maximum age, retire, or are no longer disabled. Please check with your employer for the maximum age.

To start your claim:

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How do I apply for the Accelerated Benefit?

Your Sun Life Group Life insurance policy may include the Accelerated Benefit. This benefit can be helpful if you’re experiencing a qualifying event/terminal illness. It provides a one-time lump sum payment up to a certain percentage of your Life insurance coverage. There are some important things to know about it, including that it is not long-term-care insurance, it may be taxable, and it may affect your eligibility for public assistance programs. It will also reduce the total amount of the life insurance payment we pay to your beneficiary(ies). Please refer to your Certificate of Insurance for qualifying event definitions and eligibility requirements.

How to apply:

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How do I change the beneficiary on my policy?

You can update your beneficiary designations online by logging in to your benefits portal.

You can also download and complete the Beneficiary Designation Form and submit it to your employer for processing. (Your employer's Human Resources department keeps a record of your designation.)

If you are on Waiver of Premium, you must mail or fax the Beneficiary Designation Form directly to Sun Life at:

Mail:
Sun Life
P.O Box 219572
Kansas City, MO 64121

Fax to: 888-551-2084

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Can I continue my life insurance coverage if I retire or leave my job?

Yes. If you opt to convert, you will be responsible for paying the Life premium. The cost of conversion coverage is different than your group coverage.

Call our Member Services at 800-247-6875. Tell us you want a Group Life Conversion application. If you are eligible, we will collect your information so we can send you the Group Life Conversion package containing the application forms and your illustration.

Follow the instructions in your Group Life Conversion package sent by Sun Life. You must complete and return the required documents along with your first premium payment within 31 days of your coverage termination date.

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How do I know what is considered a Short-Term Disability or Long-Term Disability claim?

  • Short-Term Disability insurance pays weekly benefits when you can no longer work and cannot perform the material and substantial duties of your job due to an illness or injury. It’s for a limited amount of time, usually 6 to 26 weeks depending on your policy language and your  condition. If you expect to be absent from work for longer than your Short-Term Disability plan's defined Elimination Period, then you may file a Short-Term Disability claim. Benefits usually start after your plan’s defined Elimination Period.
  • Long-Term Disability (LTD) insurance pays monthly benefits when you can no longer work for an extended amount of time due to an illness or injury and after Short-Term Disability ends. LTD is for chronic or catastrophic disabilities. You should only file a Long-Term Disability claim if you have been unable to work because of a disabling illness or injury for the length of the Elimination Period stated in your LTD policy (most commonly 3 to 6 months).

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When will my benefit start?

Once your claim is approved, the start date of your payments depends on a few key factors:

  1. Elimination Period: The period for which you must be disabled before being able to receive Short-Term Disability benefits. During this time, no Short-Term Disability benefit is payable. The elimination period is policy specific.
  2. Waiting Period: The length of time you must be employed with your employer before your disability coverage is effective.

Important note: If you become disabled during the eligibility waiting period, you will not receive benefits.

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How do I know if I work in a state with a Paid Family and Medical Leave program?

Talk to your employer. Depending on your where you perform your work, there may be a state program that will offer paid benefits for the need to take a leave for your own serious health condition, to care for a family member with a serious health condition, or to bond with a new child.

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What do I need to file a disability or Paid Family and Medical Leave claim?

To file a Short- or Long-Term Disability or Paid Family and Medical Leave (PFML)* claim, you will need to complete a claimant statement, which asks for the following information:

  1. Why you are taking an absence
  2. Whether you are taking continuous, intermittent, or a reduced schedule
  3. Information about the treating healthcare provider(s)
  4. Dates expected to be absent from work

You can submit your claims online. You only need to submit one claim for your disability and absence benefits - and we'll take care of the rest.

To get started:

  1. Log in to your Sun Life account
    If you do not have a Sun Life account, you can create one at sunlife.com/createaccount
  2. Select Submit a claim and then a time away from work request
  3. Complete the required information and submit your claim

*Applicable with PFML coverages you have with us. If you’re submitting a disability claim, we will initiate any statutory disability and PFML coverages that may apply. 

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How do I get claim status information?

As soon as you get your claim number provided in our acknowledgement letter that was sent by mail or email, you can check your claim status:

Online through your Sun Life account:

Call us at 800-247-6875 Monday through Friday 8 a.m. to 8 p.m. ET.

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How long will it take to make a claim decision?

A claim specialist will review your claim once we have all necessary paperwork. We'll contact you with our decision and send a follow-up letter with details of our decision.

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How do I file a Short-Term Disability claim? 

To notify Sun Life and your employer of a Short-Term Disability claim, you can use the following methods:

Online – the easiest way to submit your claim:

  1. Log in to your Sun Life account
    If you do not have a Sun Life account, you can create one at sunlife.com/createaccount
  2. Select Submit a claim and then a time away from work request
  3. Select Short-Term-Disability
  4. Complete all required information and submit your claim
  5. Once your claim is submitted, download or print all required forms. Ensure your healthcare provider completes the Attending Physician Statement and submits it to Sun Life.

You can upload all completed forms to your Sun Life account by completing the following steps:

  1. Click View claim status
  2. Select your claim
  3. Click on I’d like to and select Upload a document

Note: If you submit a disability claim, we will initiate any statutory disability and Paid Family and Medical Leave coverages that may apply.

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How do I file an FMLA leave and Short-Term Disability claim?

Follow your “How to file a claim” instructions provided by your employer. Or call us at 800-247-6875, Monday through Friday from 8 a.m. to 8 p.m. ET.

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How do I find out when my childbirth benefits begin and end?

Benefits are based upon appropriate doctor certification. Typically, you become eligible for benefits on the day you deliver. Please note, there may be a short period of time, called an Elimination Period, before benefit checks actually begin. Ask your employer or refer to your Employee Benefits booklet to determine the length of your Elimination Period. Short-Term Disability benefits typically end six weeks after your delivery date. If you have medical complications that prevent you from doing your job, we will review the medical records provided by your doctor and may extend your benefits beyond this timeframe.

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Will I receive Short-Term Disability benefits if I stop working before my due date?

If you have medical complications that prevent you from doing your job, we will review medical records provided by your doctor and may provide benefits prior to your expected delivery date.

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Does Sun Life pay Short-Term Disability benefits for work-related injuries?

Sun Life Assurance Company of Canada is not responsible for paying claims for work-related injuries. Such claims should be directed to your employer's Workers' Compensation insurer.

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Does PFML affect my Short-Term Disability benefit?

In most cases, PFML will reduce your Short-Term Disability benefit. The exact impact depends on your specific policy. Refer to your Sun Life certificate or reach out to your employer for more detailed information.

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Does FMLA affect my Short-Term Disability claim?

Under the Family and Medical Leave Act (FMLA), eligible employees of qualified organizations have the right to take up to 12 weeks of unpaid leave during a 12-month period.

While FMLA doesn't offer any benefits that would affect a Short-Term Disability, FMLA does guarantee your job availability once you return from your medical leave.

Short-Term Disability coverage may be continued during the leave at the same contribution level as before. The employer can recoup premiums that were paid for continued benefits if the employee does not return to work. Please contact your employer for more information.

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Long-Term Disability

How do I . . .

How do I file a Long-Term Disability claim?

To notify Sun Life and your employer of a Long-Term Disability claim, you can use the following methods:

Online - the easiest way to submit your claim:

  1. Log into your Sun Life account
    If you do not have a Sun Life account, you can create one at sunlife.com/createaccount
  2. Select Submit a claim and then a time away from work request
  3. Select Long-Term Disability Claim
  4. Complete the required information and submit your claim
  5. Once your claim is submitted, download or print any necessary forms. Ensure your healthcare provider completes the Attending Physician Statement and submits it to Sun Life.
  6. You can upload all completed forms to your Sun Life account by completing the following steps:
    1. Click View claim status
    2. Select your claim
    3. Click on I’d like to and select Upload a document

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How do I submit a Supplemental Health claim?

  1. Sign into your Sun Life account and select Submit a claim
  2. Select an Accident, Cancer, Critical Illness, or Hospital Indemnity claim and follow the prompts
  3. You will receive an email confirmation after you submit your claim

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How do I submit a Wellness claim?

  1. Sign into your Sun Life account and select Submit a claim
  2. Select a Wellness/Cancer screening benefit claim and follow the prompts
  3. You will receive an email confirmation after you submit your claim

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How do I check my claim status?

  1. Sign into your Sun Life account and select View Claim Status
  2. Select Accident, Cancer, Critical Illness, Hospital Indemnity or Wellness/Cancer screening claims
  3. Select a claim and choose View Details to view the status
  4. To view claim related letters and/or EOBs, select Documents and view the corresponding file

You can also check your status by calling Supplemental Health claims at 877-820-5306.

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How do I find a dentist in my network?

You can go to www.sunlife.com/findadentist and select your network from the drop-down to get started.

For a more personalized search:

  1. Log in to your Sun Life account or our mobile app Sun Life Dental (U.S.)
  2. Select find a dentist and you will go directly to your network without having to select it from the drop-down.

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How do I find my dental ID card?

Online through your Sun Life account:

  1. Log in to your Sun Life account 
  2. Select Dental ID card on the home page

Through your Sun Life Dental (U.S.) mobile app account:

  1. Download the app  (if you haven't already)
  2. Log in to your account
  3. Select ID Card on the bottom navigation

 

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How to add Sun Life’s secure website icon to your mobile phone’s home screen:

For iPhone users:

  1. Open your Safari web browser and navigate to the Sun Life account sign in page: Sun Life account sign in page
  2. Select the share icon from Safari’s web browser menu.

        3. From the menu, select Add to Home Screen.

        4. Give your icon the name Sun Life account and then select Add.

Your new website icon will now be visible on your phone’s home screen. You can select this icon at any time to quickly access your Sun Life account.

For Android users:

  1. Open your Google Chrome web browser and navigate to the Sun Life account sign in page: Sun Life account sign in
  2. Open Google Chrome’s drop-down menu by selecting the three-dot icon in the top right-hand corner of the screen.

        3. From the drop-down menu, select Add to Home screen.

        4. Give your icon the name Sun Life account and then select Add.

        5. Select Add again if asked a second time.

Your new website icon will now be visible on your phone’s home screen. You can select this icon at any time to quickly access your Sun Life account.

 

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Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York. In New York group insurance policies are issued by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). Product offerings may not be available in all states and may vary depending on state laws and regulations.

WWC-10518-1    #1696917154 07/25 (exp. 07/27)