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HOW TO FILE EXTENDED HEALTH CLAIMS

Before submitting the claim form, ensure that all questions, have been answered that you have signed your name and clearly identified yourself by full name, return mailing address, and your employer and Union. Faulty or missing information will only result in a delay in processing your claim.

Claim Form You may print out a claim form here claim form Ontario Teamster Construction Health Claim form.
You can also contact BPA Claims Department (see box below) to obtain a copy of the form.

If the claim is for your Dependent, provide the Dependent's first name, date of birth and relationship to you.

When you are sure that all of the above has been completed, forward the form and all attachments to the Claims Department. Your benefit cheque will be mailed directly to you. Assignment of benefits is not permitted and all cheques will be made payable to you as the insured Member.

Each expense should be listed separately, by insured individual, on the appropriate claim form. Submit claims together with originals of bills or receipts, no more than once a month or every 2 to 3 months if bills are small. Claiming more frequently for small amounts ties up service for everyone and delays payment on larger claims where there is a real need for timely benefits.

Bills and receipts must be complete. Each bill, or receipt, other than for drugs, must show the:

  1. patient's full name
  2. date(s) the service was rendered or purchase made
  3. nature of the sickness or injury
  4. Physician's written recommendation
  5. itemized charges

Each drug or medicine bill or receipt must show the:

  1. patient's full name
  2. prescription number, name of medication, quantity, and strength
  3. date of purchase, dispensing fee and the total charge for each item
  4. Drug Identification Number (DIN)
Note: Failure to list drug expenses separately will result in your form being returned to you for proper completion.

Covered Services and Drugs

You can refer to the Health Care section of this website, or you may also contact BPA (see below) for a benefit booklet which will outline your coverage. If further clarification is required you may call BPA Claims Department (see below) for the information that you require.

Proof of Loss

Written proof stating the occurrence, character and extent of loss must be submitted for each benefit to the administrator within 12 months after the date of the loss, but not more than 3 months after the date coverage terminates, for Extended Health Care Benefits.

Forms & Brochures
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