Online claim submission is available via RWAM Plan Member Services.

Download and print these PDF forms for paper claim submission.

Should you have questions about which form to use, or need assistance filling out a form please contact RWAM .

Contact your Plan Administrator or contact RWAM for Critical Illness claims assistance.
RWAM offers products through a variety of carriers. Please refer to the provider page of your Employee Benefits Booklet, contact your Plan Administrator, or contact RWAM to determine which carrier’s Health Evidence form to use
For individuals leaving a company who wish to convert their existing Group Life coverage to an Individual Life Insurance Policy. Please refer to the provider page of your Employee Benefits Booklet, contact your Plan Administrator, or contact RWAM to determine which carrier’s Group Life Insurance Conversion form applies to you.
  • Group Life Insurance Conversion – La Capitale – Contact RWAM for a quote
PDF icon Group Life Insurance Conversion – RBC
Plan Administrators, download forms for administering the Group Benefit Plan from the Plan Administrators Forms page.

Stop Waiting for your Money – Submit your Claims Electronically

Find out how by visiting the Claim Submission Guidelines page.