This form is to be completed when enrolling new employees or changing existing coverage information.
Explanation of Benefits (Sample)
Statement describing submitted and paid claim details by line of benefit, explanation of adjustments and/or rejections and address details.
OAD Eligibility Form
This form is to be completed when enrolling a new over-age-dependant or changing existing coverage information.
Contact
Hours of Service
Drug Claims
7:00 am – 11:00 pm EST (Mon-Fri)
11:00 am – 4:00 pm EST (Sat-Providers ONLY)
Dental and EHC Claims
7:00am – 11:00 pm EST (Mon-Fri)
Head Office
ClaimSecure Inc
City Centre Plaza
1 City Centre Drive, Suite 620
Mississauga, Ontario L5B 1M2
Operations Office
ClaimSecure Inc
40 Elm Street, Suite 225
Sudbury, Ontario
P3C 0A2
Claims or Receipts
ClaimSecure Inc
P.O Box 6500, Station A,
Sudbury, Ontario
P3A 5N5