
Get Great West Life Claim Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Great West Life Claim Form online
Filing a claim with Great West Life can seem daunting, but with the right guidance, it becomes a straightforward process. This guide will help you navigate the Great West Life Claim Form online, ensuring you provide all necessary information accurately.
Follow the steps to complete your claim form successfully.
- Click ‘Get Form’ button to obtain the Great West Life Claim Form and open it for editing.
- Begin filling out Part 1: Employee Information. You will need to enter your plan number, division number, plan name, employee identification number, and your full name. Additionally, include your address, date of birth, province, postal code, and both home and work phone numbers.
- Proceed to Part 2: Coordination of Benefits. Answer whether you or any family member are entitled to benefits from another plan. If yes, provide the name of the insured family member and the other insurance company name along with the policy number. Also, indicate if any family member is insured as an employee under the same plan.
- In Part 3: Dependent Information, provide details for dependents, such as their relationship to you, whether they reside with you, their student status, and how many hours they work, if applicable.
- Move on to Part 4: Claim Details. Itemize your healthcare expenses including drug expenses and any other expenditures. Record the patient name, type of expense, nature of illness, and total charge for each item.
- Review all entered information for accuracy and completeness. It is crucial to ensure there are no errors as claims containing incomplete information will be returned.
- Once satisfied with the completed form, you can save your changes, download, print, or share the form as needed.
Complete your Great West Life Claim Form online today to ensure timely processing of your claim!
Completing an insurance claim form begins with gathering all required information. Use the Great West Life Claim Form to ensure all sections are filled out correctly, detailing the incident or loss. Double-check for accuracy and attach any supporting documents to facilitate a smooth claims process.
Fill Great West Life Claim Form
Use this form to make a claim or get an estimate for expenses such as prescriptions, vision care, paramedical services or medical equipment. Find the right form to make a claim, manage benefits, submit a request, etc. Claim forms are available on both Doctors of BC's website and Great-West Life's GroupNet for Plan. Personal information that we collect will be used for the purposes of assessing your claim and administering the group benefits plan. Canada Life Claim Form for Medical Expenses Insurance (formerly Great West Life). Download the fillable PDF here. The purpose of the Great-West Life Out-of-Country Claims form is to facilitate the reimbursement of medical expenses incurred while traveling outside of Canada. This service enables you to access: • Your benefit details and claims history. • Personalized claim forms and cards. To submit paper claims, obtain an Employee Claim Submission.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.