How to Claim Benefits. You can get the forms You need for claiming benefits from the Policyholder. We will furnish said forms to the Policyholder. If the forms are not furnished before the expiration of ten working days after the giving of notice, the claimant shall be deemed to have complied with the requirements of the policy as to proof of loss upon submitting, within 90 days of the date of loss, written proof covering the occurrence, character, and extent of the loss for which claim is made. Failure to furnish such proof within such time shall not invalidate nor reduce any claim if it was not reasonably possible to furnish such proof within such time, provided such proof is furnished as soon as reasonably possible and in no event, except in the absence of legal capacity of the claimant, later than one year from the time proof is otherwise required. When making a claim for Dental Benefits You must give proof of each
How to Claim Benefits. All claims, except those under the Drug Plan, are to be submitted on the proper form, along with appropriate bills or receipts, to the Administrator: Employee Benefit Plan Services 00 XxXxxxxx Xxxxx Markham, Ontario L3R 8C7 General Enquiry: (905) 946‐8655 Claims under the Drug Plan when the drug/medicine was dispensed on or after September 1, 1982, are to be submitted to Employee Benefit Plan Services. Dental Claim forms are usually stocked by the Dentist. Claim Forms for Disability Income must be submitted through the Company. Claim forms can be obtained through the Company, Union Office, or the Administrator. If you are making a claim under the Visioncare Plan, please be sure to enclose the xxxx or receipt from the Dispensing Optician or Optometrist. This xxxx or receipt must show comprehensive information in terms of what has been dispensed, and particularly include information regarding the change in lens if the claim is being made for the annual change in children's glasses.
How to Claim Benefits. Claim forms are available from your Employer and should be submitted to The Insurance Company within 60 days of the date your disability commenced. Proof of a continuing disability will be required from time to time.
How to Claim Benefits. When eligible expenses are incurred outside your province of residence, request detailed receipts (in duplicate if possible). Send one set of receipts to your provincial government health plan for their consideration and payment. When they have replied, send original proof of their payment together with receipts and a completed claim form to Liberty Health for payment of remaining eligible benefits. Payment will be made in Canadian currency, based on the rate of exchange in effect at the conclusion of the service rendered as determined by any Canadian Chartered Bank. Please note that claims in foreign languages require an accompanying translation. LIMITATIONS Extended Health Benefits group coverage does not pay for: Services normally paid through any provincial hospital plan, any provincial medical plan, Worker’s Compensation Board, other government agencies or any other source. Services provided in a chronic care or psychiatric hospital, chronic unit of a general hospital, health spa, or when a patient is confined to a nursing home or home for the aged and receives Ontario government assistance. Dental care (except as outlined under “Benefits”). Rest cures, travel for health reasons, insurance examinations or services or supplies for cosmetic purposes. Any benefit provided outside Ontario at an amount greater than the reasonable and customary charges Liberty Mutual would pay for such a benefit, with t he exception of allowances for rates of exchange as outlined under “General Information”. Expenses incurred for benefits, or that part of benefits which cease to be payable under any government program. SEMI-PRIVATE HOSPITAL ACCOMMODATION Semi-Private Hospital Accommodation – if you are hospitalized in a public general or convalescent hospital or in a contracted private hospital in accordance with the formal agreement between the hospital and Liberty Mutual, payment will be made for room and board charges in excess of those payable by your provincial health plan, up to the difference in amount between the hospital standard xxxx charge and the semi-private room charge. When charges are incurred outside Ontario, Liberty Mutual will not pay amount which is greater than it would pay for such charges when provided in Ontario to a resident of Ontario. Refer to your Summary of Benefits for information regarding reimbursement of this benefit. DENTAL BENEFITS Reimbursement of charges incurred by you and your eligible dependents for the following dental procedures wil...
How to Claim Benefits. (i) All claims, except those under the Drug Plan, are to be submitted on the proper form, along with appropriate bills or receipts, to the insurance carrier.
