Claim Form | Description | Download |
EHC Claim Form | Paper claims for Extended Health Care (EHC) like Prescription Drugs, Vision Care, Paramedical Practitioner’s – Physiotherapist, Chiropractor, Massage Therapist etc. should be completed and submitted to Manulife. | Download |
Dental Claim Form | Paper Claims for Dental Care has to be completed by your dentist and signed by the Plan Member and dentist. This should be submitted to Manulife directly. | Download |
Manulife Launch Plan Group Application | New Group Application to be completed by the Employer (Plan Sponsor) and sent to info@wescaninsurance or, Fax # (866)611-6631. | Download |
Employee Enrolment Form (Launch Plan) | Each Employee participating in the Employer’s Group Benefits Plan has to complete this form and the Plan Administrator (PA) has to send this over to – info@wescaninsurance or, Fax # (866)611-6631. | Download |
Employee Change Form | Any change to the Employee’s – Beneficiary, Dependent Status, Termination, and Salary, should be communicated by completing this form. The completed forms should be sent to Manulife. | Download |
Refusal Of Benefits | An Employee’s consent of Benefits Refusal, should be submitted at the time of Plan Implementation to info@wescaninsurance or, Fax # (866)611-6631 | Download |
OverAge Disabled Dependent Form | This is to be completed for any Disabled Dependent over the Age of 25. The completed form should be sent to Manulife. | Download |
403-903-2898
587-430-0515