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Forms. Find answers to questions about downloading forms (and completing them) on our Find a form page . Use this form to submit extended health care claims to the group benefits plan. Use this form to submit dental claims to the group benefits plan.
Often, day-to-day Group Benefits account activities include working with one of these forms: Extended health care claim form. Drug prior authorization form – This form requires Adobe Acrobat Reader DC for Mac and Windows. Dental claim form. You’ll find links to these and other forms below.
Are you a Manulife group benefits plan member? Visit our site today to submit a claim, sign in, download forms, find support, articles, and frequently asked questions.
Sign up for direct deposit and electronic claim statements. HCSA contract number. Receive your claim payments up to 70% faster with direct deposit and enjoy the convenience of seeing your claim statements online. Go to www.manulife.ca/groupbenefits and register for the plan member secure site.
Extended Health Care Claim- Group Benefits | Manulife Subject: Use this form to submit extended health care claims to the group benefits plan. Created Date: 7/29/2020 12:56:54 PM
Please send the completed form to: Group Benefits e-Beneficiary Designation. All sections of this form should be completed as it will replace any prior designations. Plan Member Administration Manulife Financial. PO BOX 2026 HALIFAX NS B3J 2Z1. The Manufacturers Life Insurance Company.
my personal information can be found in Manulife's Privacy Policy and Privacy Information Package, available at www.manulife.ca/groupbenefits, or from my Plan Sponsor. I hereby apply for coverage ("Coverage") under the Group Benefits plan issued to my plan sponsor by Manulife Financial ("Manulife").
The claims portal provides a way to submit claims digitally, upload documents, and track your claim's status online. Step 1: Go to the GEM claims portal. Step 2: Choose Start a Claim and follow the prompts and answer each question fully.
