Employer and Employee Forms
All forms can be filled in on-line, then printed out for mailing.
Users of Adobe Reader version 7 and later can save data typed into these forms. click the icon below to download the latest version of Adobe Reader.
General Claim Form (for most companies)
Please right click on the forms below and save the forms to your desktop first before completing them.
Prefunded Claim Form (Companies with special arrangements)
If you are unsure which claim form to use, please call us toll free
1-866-234-5162 or in Calgary at (403) 537-6298
- Add or Delete Employee(s)
- Related Form: New employees must complete an "Employee Personal Information and Authorization"form
Change Employee Benefit Levels
Company-Wide or for Individual Employees
Change your Health Spending Account Levels for any or all classifications of employees, or change a classification for an individual employee
- Related Form: Changes in marital or dependent status that affect an employee’s benefit level require inclusion of "Employee Change Personal Information" form
Employee Personal Information and Authorization
For new employees who are eligible to participate in the program
Change Employee Personal Information and Authorization
For existing employees who wish to change their name, contact information, marital status, or dependent information
- Related Form: Changes in marital or dependent status that affect your benefit level require inclusion of "Employer Change Employee Benefit Level and Classification" form