MAKING A CLAIM

Provincial Union / Rugby Canada Extended Medical Coverage Injury Reporting And Claims Process

AD&D and Accident Medical Expense Benefit (claiming expenses that have incurred in Canada and in your Province of Residence after sustaining an injury – but only within 365 days of the injury date – please complete the following steps):
  1. Fully complete an injury report form
  2. Fully complete a witness report form
  3. Fully complete the Accident Reimbursement Plan Form for claiming expenses that incurred in Canada and in your current Province of residence
  4. Send a doctor note and/or prescription (or physician referral for treatment)
  5. Invoices
  6. Explanation of Benefits from your primary insurance (if applicable)
  7. Email all of the above to injuryclaims@rugby.ca

Please note that all documents must be fully completed.  Documents that are not fully completed could lead to a delay in processing the claim.

Claimants must be registered in the appropriate membership category on Sportlomo and be covered under a Provincial Government Health Insurance Plan to be eligible for the Accident Medical Expense benefit.

*Only Provincial Unions and Clubs that have opted into the Accident Medical Expense Benefit will be eligible to submit a claim under this policy. For the 2024 & 2025 Season this includes only members from Rugby Alberta & Rugby Nova Scotia and BC Rugby for the 2024- 2025 Season (currently only up until April 30th, 2026)*

Please see the Accident Medical Expense Benefit Executive Summary here.

General enquiries regarding making a claim can be sent to injuryclaims@rugby.ca.

Download Injury Report Form Click Here

Download Witness Report Form Click Here

Download Accident Reimbursement Plan Form (English) Click Here

Download Accident Reimbursement Plan Form (French) Click Here

TRAVEL MEDICAL PROCEDURE (Claiming expenses that have incurred outside of Canada or Province of Current Residence)

Travel Medical Process (tours)

Only sanctioned tours will be able to make a claim against the national insurance program. Players who have been cleared to play with another National Union can not be exposed to the National Insurance Program.

Registered Participants of Member Organizations have extensive travel coverage under the National Insurance Program. This coverage will apply while on sanctioned and approved tours for member organizations. It does not provide coverage for expenses incurred upon returning home to Canada/Province of Residence.

Claimants must be registered in the appropriate membership category on Sportlomo, listed on a Clubs Outbound Tour Application and covered under a Provincial Government Health Insurance Plan to be eligible for the Travel Medical policy.

Industrial Alliance provides 24/7 emergency/travel assistance through TuGo. Members will be able to complete the following process if injury or sickness occurs when on tour for immediate assistance:

  1. Call 911 or country emergency phone number for an ambulance (if necessary)
  2. Refer to Industrial Alliance Emergency Medical/Travel Assistance Card with dedicated phone and member number, call and begin the process  (Download Emergency/Travel Assistance Card – TuGo)
  3. The travel assistance provider utilized by Industrial Alliance, called TuGo, will direct you as needed
  4. Coach, Manager, Parent, Volunteer or individual themselves will liaise with the travel assistance provider utilized by Industrial Alliance, called TuGo, who will advise what benefit payment options are available to the patient with respect to the potential medical expenses, tests or procedures related to their unique case. Payment options will vary from case to case depending on geographic location, provider policy and the patient’s medical issue. TuGo will also let you know the Form linked below will need to be completed in order to proceed. Please click on which Province the player resides in to complete and send to them as they advise
  5. The hospital or medical clinic will work with  the travel assistance provider, TuGo, to support the medical situation as it evolves.
  6. The patient will receive treatment
  7. Complete Rugby Canada’s Injury Report and Witness Report and submit to Rugby Canada at injuryclaims@rugby.ca

Note, the paperwork linked below MUST be completed and sent to TuGo in order for the claim to be processed. If not completed, the claim will stay outstanding. 

Download Injury Report Form Click Here

Download Witness Report Form Click Here

Emergency Travel Medical Policy Summary

Download Out-of-Province/Country Form – BC Resident

Download Out-of-Province/Country Form – AB Resident

Download Out-of-Province/Country Form – NL Resident

Download Out-of-Province/Country Form – NS Resident

Download Out-of-Province/Country Form – ON Resident

Download Out-of-Province/Country Form – NB Resident

Download Out-of-Province/Country Form – QC Resident – English

Download Out-of-Province/Country Form – QC Resident- French

Download Out-of-Province/Country Form – SK Resident

Download Out-of-Province/Country Form – PEI Resident

Download Out-of-Province/Country Form – MB Resident

If TuGo was never contacted and the member is now wanting to submit a claim upon returning home from tour (only for expenses that incurred on tour Outside of Canada or the players Home Province and within 365 days of the injury date), please follow the steps below:

  1. Fully complete the corresponding Out of Country/Province form above
  2. Complete Rugby Canada’s Injury Report and Witness Report above
  3. Invoices
  4. Explanation of Benefits from your primary insurance (if applicable)
  5. Email all of the above to injuryclaims@rugby.ca

Note: we still recommend contacting TuGo if possible when on tour if a guarantee of payment is required. It is always a good idea to get guarantee of payment so it is known for sure what will be covered when Out of Country but we do understand this may not always be possible so injuryclaims@rugby.ca can support on claims not opened with TuGo.

Note: we still recommend contacting TuGo if possible when on tour if a guarantee of payment is required. It is always a good idea to get guarantee of payment so it is known for sure what will be covered when Out of Country but we do understand this may not always be possible so injuryclaims@rugby.ca can support on claims not opened with TuGo.