eClaims Direct Billing Forms - All Locations

Complete this form if your insurance provider is one of the following;

  • BPA – Benefit Plan Administrators
  • Canada Life
  • Canadian Construction Workers Union
  • Chambers of Commerce Group Insurance
  • ClaimSecure
  • Coughlin & Associates Ltd.
  • Cowan
  • D.A. Townley
  • Desjardins Insurance
  • First Canadian
  • GMS Carrier 49 or GMS Carrier 50
  • GroupHEALTH
  • GroupSource
  • Industrial Alliance
  • Johnson Inc.
  • Johnston Group Inc.
  • La Capitale Insurance and Financial Services,
  • LiUNA Local 183 or LiUNA Local 506
  • Manion
  • Manulife Financial, Maximum Benefit
  • People Corporation
  • RWAM Insurance Administrators
  • Sun Life Financial
  • TELUS AdjudiCare
  • Union Benefits
  • UV Insurance.

Sun Life Direct Billing Form - All Locations

Important: This form must be completed by the insured member. If you are a dependent on the policy you must have the policy holder complete and sign this form before we are able to direct bill on your behalf. This form cannot be completed by the plan members dependents.

Intake Form

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