Get Caresnet

Completing the Caresnet form is an essential step in applying for group benefits. This user-friendly guide will provide you with clear, step-by-step instructions to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete your Caresnet application.

1. Click the ‘Get Form’ button to obtain the Caresnet form and open it in your preferred document editor.
2. Begin filling out the 'Employer/Plan Administrator' section. Enter the mailing address, including PO Box and street address, along with the fax number. Provide the surname of the applicant and the EHC if applicable.
3. Indicate whether this is a new application or a reinstatement by selecting the appropriate option.
4. Complete the applicant’s section by entering their first name, middle initial, and last name. Include the birthdate in the required format (mm/dd/yy), along with the address details, such as suite number, street, city, province, and postal code.
5. Specify the relationship to the applicant for dependents by including their surname, first name, middle initial, sex, and birthdate. For each child, indicate their number according to the plan, and include additional details if they are over the plan’s age limit or have a disability.
6. If applicable, answer whether you or your dependents were covered under another group dental or EHC plan in the last 6 months. Provide the name of the insurance company, list the benefits covered, and indicate if the plan is still active.
7. In the 'Employer/Plan Administrator' section, enter the company or organization name, department number, union or employee code, and the date of employment.
8. Provide a phone number and email address for any follow-up questions regarding the application.
9. Review the consent statement, ensuring that you understand and agree to the terms outlined. Sign and date both the applicant's section and the employer's section as required.
10. Once all fields are completed, you can save your changes, download the form, print it for your records, or share it as necessary to finalize your application.

Start completing your Caresnet application online today to access your group benefits!