Typically dentists can submit a dental claim electronically directly to the insurer. If not, the employee can mail the claim form to the insurer for reimbursement.

Employees can coordinate benefits with their spouse. Both must be covered under their employer’s dental plan and at least one (employee or spouse) must have couple or family coverage.

  • An employee can never receive a refund of more than 100% of an eligible expense.
  • Employees must submit claims for their expenses to their benefits program first. If the refund is less than 100% of costs, the employee can then submit a claim for the difference to their spouse’s plan.
  • The spouse must always submit claims for expenses incurred for himself or herself to his or her own plan first. If the spouse’s refund is less than 100% of the expense, then the spouse can submit a claim for the difference to the employee’s benefits program.
  • Claims for dependent children must go first to the plan of the parent whose birthday comes first in the calendar year. If the parents have the same birthday, submit the child’s claims to the plan of the parent whose first name comes first in the alphabet. If the parents are separated or divorced, the child’s claim must go first to the plan of the parent who has custody of the child.

Employees must complete an Emergency Out-of-Province Claim form and forward to the insurance carrier with attached itemized bills outlining the services for which charges were incurred.

Canada Life’s Global Medical Assistance group plan enhancement to your group healthcare plan is designed to provide worldwide assistance to travellers in emergency medical situations, wherever and whenever the need arises.

Canada Life will coordinate the claim with the applicable provincial health plan directly.

Ensure that claims are made promptly as the Medical Services Plan of British Columbia’s claiming deadline is 90 days from the date of service (other provincial health plans may have different deadlines).

Please contact Johnstone’s Benefits directly if an employee incurs a Life, AD&D or Critical Illness claim.

Please contact Johnstone’s Benefits directly if an employee incurs a Short Term or Long Term disability claim.

Tips for Claim Forms

Click on the type of form title to expand the section.

Then, select the appropriate form to link to the actual electronic form or the forms directory on the insurer’s website.

Each form will have specific instructions on how to complete the claim form.

Contact Johnstone’s Benefits if you require further information or guidance, if you are unable to access the required form, or if the desired form is not listed.