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DOWNLOAD FORMS
 The following files are provided as Adobe PDF documents. PDF files require Adobe Reader (Acrobat) to view and print.
If you do not have Adobe Reader you may download it for free ... click here.
- EHB Claim Form (Mohart Insurance Consultants Ltd.)
If you require a form for Extended Health Benefits (prescription drugs, vision care, chiropractor, physiotherapist, naturopath, orthotics, etc.), and your claims are assessed by Mohart Insurance Consultants Ltd., please click here.
- EHB Claim Form (Great-West Life)
If you require a form for Extended Health Benefits (prescription drugs, vision care, chiropractor, physiotherapist, naturopath, orthotics, etc.), and your claims are assessed by Great-West Life, please click here
[NOTE: CLAIMS MUST STILL BE SENT TO OUR PLAN ADMINISTRATOR FOR AUTHORIZATION].
- Assignment of Benefits
For your Extended Health Benefits, if you want us to pay the service provider (pharmacist, psychologist, chiropractor, etc.) directly instead of waiting for reimbursement, please click here.
- Weekly Indemnity Claim Form
If you require a form to claim for Weekly Indemnity (Short Term Disability) benefits, please click here.
- Add or Delete Dependents Application
If you require a form to add a dependent to your coverage, or delete a dependent from your coverage, please click here.
- Over Age Dependant
If you require a form to apply for coverage for over-age dependent children, please click here.
- Common Law Dependant
If you require a form to apply for coverage for your common-law spouse, please click here.
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We, the Trustees, take the utmost pride in governing your Plan and being responsible for its operation. While we believe in affordable benefits for working people and their families, we also believe that a good benefits plan means more than just low prices/premiums. Plan design, plan administration, and plan funding are vitally interconnected and, we aim to give you the best of all three. We want you and your families to have the best benefits and service possible for the monies that you negotiate, while maintaining a sound financial basis.
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