We’ve made submitting health and dental claims fast, easy and secure with Equitable EZ Claim ® . Attn: Dental Department or Customer Service Centre 1-855-264-2174 DENTAL CLAIM FORM I hereby assign my benefits payable from this claim to the named provider and authorized payment directly to him/her PART 1 - PROVIDER P Patient Last Name Given Name A. T Address Apt. It's impo… Learn More |p½¦ç8ƒz#ò Metropolitan Life Insurance Company. Learn about the Public Service Dental Care Plan (PSDCP), a mandatory dental services plan for federal public service employees and their eligible dependants for specific dental services and supplies not covered under a provincial/territorial health or dental care plan. All rights reserved. SECTION 1: To be completed ... Residence mailing address City State ZIP 13. www.canadalife.com For the deaf or hard of hearing: Toll Free: 1.800.990.6654. òÀ-‡Œ(m;RÉ ùR©µü“ñ]º¢Ã7Ø|6Z=-R2¿%]Þ,&_Òù÷›£ÙÝãïíÑáå›óÅüÛdœ’åzþí|AV÷èY/Ú+ ¢‹ôaþ-hxkނÄ̈Ë^Žpø½ ì€^SDgèÐDÍà¡7 r㶏–+r:zHŒâ]Ùú¿¢øpŸµzàm…ûL=³©žM¶Õ{7ù–Î^ô+Ýþÿ„¹`. Winnipeg MB R3C 0E6. Postal Code T Unique No. The claim form is completed by the dentist and mailed to the Benefit Center address listed on the back of the Dental ID card. claim statement) from Sun Life. Send this claim to: Questions? What is health and dental insurance? date signature of employee phone no. total fee submitted: $ please mail your completed claim form and receipts to the appropriate address. Sun Life Financial Claims Address. PART 1 DENTIST. Sun Life Assurance Company of Canada Dental Claims Office PO Box 6159 STN CV Montreal QC H3C 3A7 Canada. Sun Life Financial Dental Claims Address. PO Box 3050 Station Main. Appeals. Review the Guidelines to determine which attachments, if any, are required. Whether you’re a customer or an adviser, you’ll find all the contact details you need by product name or area below, Click on a product or business area on the left hand side to view the correct contact details.  Please note  that the business area displayed is highlighted by a vertical red bar, Phone: 0345 606 0708 or +44 1707 651 122Email: Customer.Services@canadalife.co.uk, Canada Life LimitedCanada Life PlacePotters BarHertfordshireEN6 5BA, Phone: 0800 032 7690Email: Customers.ra@canadalife.co.uk, Phone:0800 032 7689Email: ifaservice.ra@canadalife.co.uk, Phone: +44 345 223 8000Email:groupcsc@canadalife.co.uk, Group Insurance3 RivergateTemple QuayBristolBS1 6ER, Phone: 0345 606 0708Email: Customer.Services@canadalife.co.uk, Phone: 01392 356 570Email: CanadaLifeBulkAnnuities@mercer.com, Canada Life LimitedPost Handling CentreSt James’ Tower7 Charlotte StreetManchesterM1 4DZ, Phone: 0333 015 1382 Email: focus@canadalifeint.com, Canada Life International Isle of ManCanada Life HouseIsle of Man Business ParkDouglasIsle of ManIM2 2QJ, Phone: 0800 068 0212Customer Email:hf-customers@canadalife.co.ukAdviser Email:hf-support@canadalife.co.uk, Canada Life Limited110 Cannon StreetLondonEC4N 6EU, Phone: +44 345 722 6232Email: contactclinvestments@canadalife.co.uk, Canada Life Asset Management1-6 Lombard StreetLondonEC3V 9JU, Answers to FAQ's, full contact details and support information by product name, Answers to FAQ's, full contact details and adviser support information by product name, See how to get in touch for all media enquiries and requests, Visit our careers site for the latest job opportunities and more, © 2021 Canada Life UK. As of January 1, 2020, Great-West Life, London Life and Canada Life joined together as one company under the name Canada Life. Claim for Dental Care Expenses – Plan member – 19110A (PDF, 1.6 MB) Opens in a new window. Your dental visit . Call Toll Free: 1.800.957.9777 . Equitable Life of Canada; Attn: Group Dental Claims Department One Westmount Road North P.O. rc004_01.06 Search string should be at least 3 characters long, Over 55 Buy-to-Let Voluntary Select Option. I authorize ClaimSecure, and persons acting for ClaimSecure, to disclose this claim, or any personal information contained in this claim, to the benefit plan sponsor/employer for the purposes of reporting fraud suspicious claims. Box 1605 Waterloo, Waterloo Ontario N2J 0A8 Please note: Equitable Life ® ©ã«ŠáªãYšb¬ã«‡¼£ŽÌX-žnVç£E:[31:xú²ò"'³¯™ðîl6_½}ëÕ;Ǐӗ—I‡>½èÉ¿~ÿ=›ò…íXė RBC Dental Insurance Review. Members will be able to get claims processed instantly* at the point-of-care. As of Jan. 1, 2020, The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company became one company – The Canada Life Assurance Company. Canada Life may discuss details of this claim with the assignee. Most eligible claims are paid within three business days; some in as little as 24 hours. On this statement Sun Life provides an explanation of your claim. Mailing address changes for Health & Dental paper claims #235 PDF version. Given Name Unique No. Canada Life Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.Canada Life International Limited and CLI Institutional Limited are Isle of Man registered companies authorised and regulated by the Isle of Man Financial Services Authority.Canada Life International Assurance (Ireland) DAC is authorised and regulated by the Central Bank of Ireland and is a Category A Insurance Permit holder with the Jersey Financial Services Commission.Stonehaven UK Limited and Canada Life Platform Limited, trading as Canada Life, are part of The Canada Life Group (U.K.) Limited. This form is used to submit claims for dental care expenses. Stonehaven UK Ltd is authorised and regulated by the Financial Conduct Authority. Information on the Public Service Dental Services Plan. I hereby assign my benefits payable from this claim to the named Dentist and authorize payment directly to him/her. geha mailing address Monday to Friday 8am-8pm ET. Sun Life Dental Claims Address. Service for deaf or hard of hearing – TTY. DENTAL 09/20 Page 1 of 2 Last Name Address City Prov. this dental claim requested by rwam. Last May, changes were announced regarding the … Sun Life Financial - Customer support Metlife Claims Mailing Address. The downloadable claim forms are for eligible active members and eligible dependents of the Local 183 Members Benefit Fund as listed below. The purpose of this notice is to inform you that Great-West Life, the administrator for the Public Service Dental Care Plan (PSDCP), is now the Canada Life Assurance Company (Canada Life). Winnipeg Benefit Payments. Postal Code Apt. 1-800-957-9777. I E N City Prov. Sun Life Canada Claims Address. Mailing Instructions: Mail your completed and signed form to our Dental Claims department. 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