| Download
Forms
This page provides downloadable forms for
your convenience in filing your benefits claims. To view and print
these forms you will need Acrobat Reader, available as a free
download from Adobe.
Some
features of the benefit claim forms:
• Plan sponsor name, contract number(s) and insurance company name have been added for you
right on the form for
ease in completion
• You can now complete the form
on-line, simply download the form, complete, select the print button,
sign it, attach your receipts and mail
• Instructions right on the form to register on Manulife's website
to view your claims history detail with
the option to sign-up for direct deposit
MANULIFE
CUSTOMER SERVICE:
1-800-268-6195
The number is the same for both English and French callers. If you
indicate you require French translation, your call will be routed to the
Montreal Customer Service Centre and a French speaking Customer Service
Representative will be available.
|
DENTAL
CLAIMS INFORMATION |
| If you live outside
Quebec: |
Si vous habitez au
Québec: |
| Manulife Financial Group
Benefits Dental Claims |
Assurance Collective
Financière Manuvie Règlements Frais Dentaires |
| P.O. BOX 1654 |
C.P. 5000, Succ. B |
| Waterloo ON N2J 4W2 |
Montréal QC H3B
4B5 |
Dental
Claim Form English
Dental Claim Form French
Part 2: Plan Member Information includes
Health Care Spending Account option if eligible
|
HEALTH
CLAIMS INFORMATION
|
| If you live outside
Quebec: |
Si vous habitez au
Québec: |
| Manulife Financial Group
Benefits Health Claims |
Assurance Collective
Financière Manuvie Règlements Maladie |
| P.O. Box 1653 |
C.P. 2580, Succ. B |
| Waterloo ON N2J
4W1 |
Montréal QC H3B
5C6 |
Health Claim Form English
Health Claim Form French
Part 1: Plan Member
Information includes
Health Care Spending Account option if eligible
HEALTH
& WELFARE APPLICATION/ENROLMENT FORM
Health
& Welfare Plan Application/Enrolment English
Health &
Welfare Plan Application/Enrolment French
EMERGENCY
OUT-of-COUNTRY MEDICAL ASSISTANCE
Mondial
Emergency Medical Travel Assistance English
*See www.manulife.ca/groupbenefits/travel
for additional information and for participating countries.
Mondial Emergency
Medical Travel Assistance French
*Consultez
notre
site Web à
l’adresse www.manuvie.ca/assurancecollective/voyage
pour
obtenir
des
renseignements supplémentaires
et la liste des pays participants.
FAMILY SERVICES
Member Assistance Plan Brochure
English
Member Assistance Plan
Brochure French
Fraud
If
you suspect fraud or the possible abuse of your benefits plan, please refer
to the Manulife Financial bulletin below.
Your Responsibilities When Submitting a Health or Dental Claim.
|
