If your plan covers 80% of eligible claims for dental, drugs and paramedical and more, and your partner has an Extended Health plan, you can submit the remainder 20% of the invoice to the other insurer, known as Co-ordination of Benefits.
The process is as follows:
Submit your claim to your own insurer and receive the 80% reimbursement.
Present the Statement of Claim (reimbursement) you receive from your primary insurer to your partners insurer, as proof of the claim.
The co-insurer, if eligible, will reimburse you the remaining 20% of the claim.
If you are submitting a claim for your dependent(s), you must submit the claim to the first payer or insurer. This is determined by the parent whose birthday month comes first in the calendar year. If the month is the same, then it's the earliest day of the month.
If your partner has recently become eligible for an Extended Health Care benefit from their Employer then you need to inform Beneplan by completing and submitting a Group Benefits Change Form found at www.beneplan.ca
- Click on Beneplan forms online
- Click on Groups Benefits Change form and you will see the below form to be completed.
After this form is submitted, you will be prompted by email to electronically sign the form and send, and this will automatically forward it to Beneplan's administration.
Should you have any difficulty, please call our Administration department at 1-800-387-1670.