Use this form to notify us of change to your members’ personal information. Marital Status changes, address changes, to add new or remove dependents, beneficiary designation changes, etc.
Medical and Dental Claim Forms
Complete this form when submitting any eligible medical expenses. Attach the original receipts to your claim form, along with referrals, if necessary. Make sure to keep photo copies of all original receipts.
This form is used to notify us of a Fair Pharmacare registration number. For complete details or to register for Fair Pharmacare, go to their website
Most dental claim forms are produced by the dental office. Any standard Dental Claim form would be accepted. This form is used for dental claims, especially for claiming orthodontic expenses, if your plan includes ortho.
Disability Claim Forms
This form is to be completed by the employer to notify us of a member’s absence from work due to a disability. Please send this form to the ARA office as we must include a claims certificate produced by our admin system to confirm the plan details to the insurance company.
Employers complete this form when there is reason to believe the member will qualify for long-term disability benefits and there is no short-term disability coverage in place.
EI Premium Reduction Program
If you are an employer who provides your employees with disability coverage for short-term illness or injury, you may be eligible for a reduction in your EI premium rate. More information is available on the Service Canada website.