Administration des prestations de maladie

Le département de l’assurance maladie s’efforce d’offrir les meilleures prestations de soins de santé possibles aux employés de l’Église adventiste du septième jour au Canada et à leur famille.

Pour la soumission des demandes de remboursement et des questions en général, veuillez communiquer avez nous à l’adresse email: ac.tsitnevdanull@stifenebhtlaeh.

Nous avons pour mission de proposer un programme d’avantages clairement défini afin de répondre aux besoins de nos employés en matière de santé et de revenu. Ces avantages comprennent donc :

• Une assurance maladie complémentaire et une assurance dentaire
• Une assurance invalidité
• Une assurance vie
• Une assurance individuelle contre les accidents

Nous sommes liés à des principes d’intégrité et de professionnalisme. De plus, nous cherchons à offrir à nos employés un service de haute qualité et une couverture exceptionnelle.

Ressources Départementales Disponibles

• Online Claims Submission
• Online Claims Access
• Prior Approval for Major Dental Work
• Administrative Forms
• Claim Forms
• Claiming Lifestyle Benefits
• For Employer Use Only
• IA Request for Conversion Group Life Insurance
• Manulife Provincial Plan Replacement Coverage
• Optional Life and AD&D Benefit Forms
• Prior Authorization Forms and Drug List
• Short Term Disability
• Tax Reporting

Online Claims Submission:

• Extended Health and Dental Claims Submission
  Submit your Extended Health and Dental claims via our online form. (External Link)

Online Claims Access:

• Online Claims Access
  Go here to sign in to the Online claims site. Once logged in you will be able to access your claims, review your payment history, change banking information. (External Link)
• On-line Claims Access/Direct Deposit/Electronic Payment of Dental Claims
  Information to sign up for On-line Claims Access, Direct Deposit and Electronic Payment of Dental Claims.

Prior Approval for Major Dental Work:

• Prior Approval for Major Dental Work must be submitted by your Dentist, accompanied with a radiograph.

Administrative Forms:

• Change Form
  To be used when reporting any family or address change.
• Good Life Registration Form
  
• Overage Dependent Application
  Complete only if your child is over age 19 and a full-time student.

Claim Forms:

• Health Care Benefit Request
  For active employees to use when submitting claims.
• Retiree Claim Forms
  For retiree's to use when submitting claims.
• HCS Benefit Request Form
  For retiree's on Health Care Spending accounts to use when submitting claims.
• Standard Dental Claim Form is available from your Dentist.

Claiming Lifestyle Benefits:

• Fitness Club Membership
  
• Lifestyle Programs
  
• Vitamins-Natural Remedies
  
• Weight Loss
  

For Employer Use Only:

• New Employee Enrollment Form
  For employers to enroll new employees into the Health Benefits Plan
• Employee Absence Notification Form (ANF)
  
• Long Term Disability Claim Form
  
• Employee on Leave of Absence Waiver of Coverage
  

IA Request for Conversion Group Life Insurance:

• IA Request for Conversion Group Life Insurance Form
  For Employees who wish to convert their Group Life Insurance prior to Age 65.

Manulife Provincial Plan Replacement Coverage:

• Manulife Provincial Plan Replacement Coverage Form
  For Employers to use for transient employees migrating to Canada for Health Replacement Coverage until Provincial Health Card is received.

Optional Life and AD&D Benefit Forms:

• Accidental Death & Dismemberment Rates
  
• Optional Life Insurance Rates
  
• Life and Personal Accident Protection Plan/Beneficiary Form
  
• Optional Life Evidence of Insurability Application
  

Prior Authorization Forms and Drug List:

• Prior Authorization Forms and Drug list
  (External Link)

Short Term Disability:

• Claim forms available from your employer or Health Benefits Administration.

Tax Reporting:

• If you wish to claim your medical expenses please save the bottom portion of the reimbursement cheque we send to you, it will provide the detailed information you require, or keep a copy of the receipt.
  
  For tax purposes you may report the portion not paid by this office if it meets the minimum medical expense deduction for Canada Revenue Agency.
  
  ALSO NOTE, your extended health and dental benefits are paid by your employer, therefore, you may not claim those premiums as an additional medical expense to include in the Canada Revenue Agency medical deduction.