My Cigna

Common Forms

Below you'll find all the commonly used Cigna forms, making it easier for you to find the one you need.

Claim Forms

Select the appropriate form to download below. If you are unsure which form is right for you, please use the Live Chat at the bottom right of this page or call one of the friendly team on 0800 900 047.

You can find further information on our claims page.

 

 

Travel Insurance Claim

If you need to make a claim for Cigna Travel Insurance, print out the form below and send it to P.O. Box 24031 Wellington 6142 or travelclaims@cigna.com.

Cigna Travel Insurance Claim Form

Your Guide to Making a Claim

 

 

Funeral Insurance Claim

If you are the nominated beneficiary

Funeral Cover Claim Form

Lost Policy Declaration

If there are multiple nominated beneficiaries

Funeral Cover Claim Form

Lost Policy Declaration

If you are the executors of the estate

Funeral Cover Claim Form

Lost Policy Declaration

If you are the 3rd party owner

Funeral Cover Claim Form

Lost Policy Declaration

If you are the authorised representative of the estate (where there is no will)

Lost Policy Declaration

 

 

LifeOne Insurance Claim

If you are the executors of the estate

LifeOne Claim Form

Lost Policy Declaration

If you are the 3rd party owner

LifeOne Claim Form

Lost Policy Declaration

 

 

Terminal Illness Insurance Claim

Terminal Illness Claim Form

Lost Policy Declaration

Initial Medical Attendant’s Statement

 

 

Accidental Death Insurance Claim

If you are the executors of the estate

Accidental Death Claim Form

If you are the 3rd party owner

Accidental Death Claim Form

 

 

Trauma Insurance Claim

For Major Illness (other than Cancer)

Major Illness Claim Form

Initial Medical Attendant's Statement

For Cancer

Cancer or Major Illness Claim Form

Initial Medical Attendant's Statement

 

 

Frequently Asked Questions - My Cigna

We've compiled a list of answers to frequently asked questions based on feedback from our valued customers. These include information about making a claim on your Cigna Insurance Policy, applying for a new policy or finding out more about our insurance products. Please do not hesitate to contact Cigna on 0800 900 047, or email us at contactus.nz@cigna.com if you have another question.

How do I make a claim - what's the first step?

The first step in making an insurance claim is to contact Cigna directly. Our team will guide you through the claims process, beginning with giving you clear information on your policy and sending out any required forms for your claim. Call us free on 0800 900 047, or email us at claims.nz@cigna.com.

What type of information will I need to provide when making an insurance claim?

The information you need to provide when making an insurance claim will vary depending on the type of claim you are making. We will send you a claim form when you contact us that describes in detail the information you need to provide us to assess your claim.

Need help with a claim or have a question not answered here?

Call us free on 0800 900 047, or email claims.nz@cigna.com.

What is Live Chat?

Live Chat is an easy way to help us answer any questions you may have as you navigate through the Cigna website.

What hours and days is Live Chat available?

Mon - Fri, 9am - 5pm.

What devices can I Live Chat on?

Live Chat works on any device i.e. Your desktop, smartphone, tablet or iPad.

What is Co-browse?

Co-browse is an easy way to help us guide you through the Cigna website. If you want to apply for one of our products online, but you need help navigating around our website then use co-browse to help us guide you through your application.

What can you see when we co-browse?

If you are viewing any page in the Cigna website then we can see the only the Cigna page you are looking at. As you complete the form, we’ll see the information you have entered. We will see your mouse move around the form, and we will see when you select a button.

If you navigate away from the Cigna website then you're on your own, and we cannot see what you are looking at. If you have other pages open from other websites at the same time, in other tabs or browsers, then they can't be seen either. We have also blocked the credit card name and number on our payment pages so that our customer representatives cannot see them.

What hours and days is Co-browse available?

Mon - Fri, 9am - 5pm.

What are the system requirements for Co-browse?

If you can use the Cigna website, then you can also use Co-browse

How do I end a co-browse session?

By clicking 'end' in the Co-browse panel at the top of your page. If you cannot see the panel, just tell our customer representative that you want to end co-browse and they will end it for you.

Will a Cigna rep be able to view my information without my knowledge?

No! Only you can request Co-browse, by clicking the 'share my screen' button on our website. While you are co-browsing, you will see a panel at the top of your page which shows that someone else is viewing your page. You can choose to end Co-browse at any time, by clicking the panel and selecting end.

How does Cigna protect the information of customers that use chat/co-browse?

When you have completed a chat, the chat conversation is recorded securely. We can email you a transcript of the chat if you would like. We don't share your chat conversations with anyone else. If you contact us again then we are able to share your chat history with you. We ask you not to provide any sensitive credit card information in your chat. With co-browse, we cannot change your data, we can only view it. We have also made sure that we cannot see your credit card information at all.