| Favourite |
GH-0054-EN |
Attending Physician's Statement - Short Term Disability Claim |
Download |
| Favourite |
G-0058-EN |
Attending Physician's Statement, Long Term Disability (LTD) |
Download |
| Favourite |
G-0019-EN |
Claimants Statement For Disability Benefits |
Download |
| Favourite |
G-0061A |
COST PLUS BENEFIT CALCULATION FORM - for Provinces outside ON or QC |
Download |
| Favourite |
G-0061C |
COST PLUS BENEFIT CALCULATION FORM - ONTARIO |
Download |
| Favourite |
G-0061B |
COST PLUS BENEFIT CALCULATION FORM - QUEBEC |
Download |
| Favourite |
|
COVID-19 Plan Member Confirmation of Illness Form |
Download |
| Favourite |
GHD-03MD-EN |
Dental Claim Form |
Download |
| Favourite |
GB-0002-EN |
Employer's Statement - Group Long Term Disability Claim and/or Life Waiver of Premium Claim |
Download |
| Favourite |
G-0006-EN |
Extended Health Benefit & Health Care Spending Account Claim Form |
Download |
| Favourite |
GH-05MD-EN |
Extended Health Claim Form |
Download |
| Favourite |
G-0033-EN |
Group Change Form (Insured Employee) |
Download |
| Favourite |
G-0008-EN |
Group Change Form Plan Administrator Changes |
Download |
| Favourite |
GB-0005-EN |
Group Dependant Children Health Information |
Download |
| Favourite |
GB-0004-EN |
Group Employee Health Information |
Download |
| Favourite |
GB-0040-EN |
Group Enrolment Form |
Download |
| Favourite |
GLB-0055-EN |
Group Life and Accidental Death Insurance Claim Form |
Download |
| Favourite |
GRP-1112-EN |
Group Spouse Health Information |
Download |
| Favourite |
G-0032-EN |
PAD authorization - Pre-Authorized Debit (PAD) |
Download |
| Favourite |
|
Plan Administrator Website Registration |
Download |
| Favourite |
|
Prior Authorization Drug Program List of Special Authorization Drugs |
Download |
| Favourite |
|
Prior Authorization Request Form |
Download |
| Favourite |
GH-0053-EN |
Weekly Indemnity (Short Term Disability) Claim Form - Employee's Statement |
Download |
| Favourite |
GH-0052-EN |
Weekly Indemnity (Short Term Disability) Claim Form - Employer's Statement |
Download |
