Forms

EMPLOYER APPLICATION FORM FOR INSURANCE

If you are a church wishing to enrol as an employer in the Insurance plan, you will need to fill out an Employer Application form.  Upon completion, please mail the original, signed copy of the form to the BGC Canada office.

Insurance Application - Employer

 

EMPLOYEE APPLICATION FORM FOR INSURANCE

If your church wishes to enroll an additional employee as a member in the Insurance plan, the Employee Application Form will need to be filled out for the individual. Please refer to the Health Insurance section for more information, eligibility requirements, and application instructions.  Upon completion, please mail the original signed copy to BGC Canada.

Insurance Application - Employee

 

DIVISION RATES

This sheet shows what the current Insurance rates are.

Division Rates Sheet

 

GENERAL CLAIM SUBMISSION FORM

Use this form for Drug and Extended Health Services.  To learn more about submitting a claim please visit the Green Shield Canada website at How to Submit A Claim.

General Claim Submission Form

 

GROUP BENEFIT PROGRAM BOOKLET

This document contains more detailed information about the Insurance plan.

Group Benefit Program Booklet