Get Canada Sun Life Financial 3454 E 2017-2026

This guide will help you complete the Canada Sun Life Financial 3454 E form online, ensuring that you provide all necessary information for your drug exception application. By following these instructions, you can efficiently navigate the process and submit your request with confidence.

Follow the steps to complete your application.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering your plan member information in the designated fields. This includes your contract number, member ID number, last name, first name, date of birth, address, preferred language of correspondence, daytime phone number, and your plan sponsor or employer.
3. Provide the claimant information. This information pertains to the person for whom you are submitting the claim. Fill in their last name, first name, date of birth, relationship to you, and indicate if they have any disabilities or if they are a full-time student.
4. Select the reason for the request from the options provided. Ensure you choose the best match for your situation regarding the drug exception.
5. If applicable, provide the name and address of your child's educational institution if they are a full-time student. Include the start and end dates of their enrollment and the number of hours enrolled per week.
6. Complete the coordination of benefits section if either you or your spouse have coverage under another benefit plan. Provide details about the person whose benefit plan covers the claimant.
7. Indicate if you are receiving or have applied for any financial assistance from another source. If yes, specify the program and include relevant documentation.
8. Sign the authorization and signature section to permit Sun Life to collect and use necessary information for processing your application.
9. Ensure that the prescribing physician completes the part of the form related to the condition and treatment. They must provide their details, signature, and any additional information required.
10. After verifying that all information is complete and accurate, save your changes, and you may choose to download, print, or share the form as needed for submission.

Complete your Canada Sun Life Financial 3454 E form online today!