Benefits

To dowload the forms below simply click on the specific link:

(Please note you will need ADOBE PDF Reader to download)

  DENTAL BENEFITS CLAIM FORM

  VISION CARE STATEMENT OF CLAIM

 

All completed forms must be mailed to:
Benefit Plan Administrators
130B Toro Road
Toronto, Ontario
M3J 3M9



For more information call 1-888-863-2278.