Get Manion Wilkins

Filling out the Manion Wilkins group health claim form is an essential step in managing your healthcare expenses effectively. This guide provides clear, step-by-step instructions to help you complete the form accurately and submit it online with ease.

Follow the steps to complete your claim form online.

1. Press the ‘Get Form’ button to access the form and open it in your editing tool.
2. Fill out the member section. You need to include your plan name, group number, your name, certificate number, and your address details, including city, postal code, and province.
3. Enter your date of birth in the specified format (day/month/year).
4. Indicate whether group health benefits are payable from any other source by selecting yes or no.
5. If applicable, provide the relationship of the dependent (e.g., spouse or child) and answer whether the dependent is working or in school, including necessary details such as the employer's name or institution's name.
6. Complete the insurance company details, including the name, policy number, and certificate number.
7. Answer whether any expenses are due to sickness or injury arising from employment, and if so, provide relevant dates and details.
8. Indicate if a claim is being made for Workers Compensation Board benefits by selecting yes or no.
9. List the name and address of any prescribing physician(s). This step is essential to substantiate your claim.
10. Ensure that original receipts are attached to the completed form.
11. Write the total amount of the claim as your final entry.
12. Certify the accuracy of the provided information by signing and dating the form.
13. Once completed, submit the claim form along with original receipts to Manion, Wilkins & Associates Ltd at the provided address.

Complete your claim form online today for efficient claims processing.