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Extended Health Plan Claim Form - Gov
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EXTENDED HEALTH BENEFITS (EHB) CLAIM FORM
WebThe Manufacturers Life Insurance Company Page 1 of 2. GL3576E (04/2024) CII • patient name, • name of practitioner, • type of practitioner, • date last paid by provincial plan (if applicable) and ... Use this form to submit extended health care claims to … Webadministering the group benefits plan. I authorize Great-West Life, any healthcare or dentalcare provider, my plan administrator, other insurance or reinsurance companies, administrators of government benefits or other benefits programs, other organizations or service providers working with Great-West Life located within or outside Canada, to WebWe can help with coverage details, claims, and more. Agents are available when the ‘Let’s chat’ option appears in the lower right-hand corner of your screen. Just click on it to start a chat. Be sure to have your Group Benefits plan details handy. We’re online from 9 a.m. to 7 p.m. EST, Monday to Friday. how good was robert e lee