H & W Benefits
FORMS
COMPASSIONATE CARE TOP-UP CLAIM FORM
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
Your Benefits Plan has been in operation since 1981, working to provide the most comprehensive coverage possible. The Trustees recognize that benefits are very important to the health and productivity of the employees and their families.
For more information about your benefits plan, please speak with your
Human Resources Department or contact Soben.
DISABILITY BENEFITS CLAIM FORM (WEEKLY INDEMNITY)
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
Your Benefits Plan has been in operation since 1981, working to provide the most comprehensive coverage possible. The Trustees recognize that benefits are very important to the health and productivity of the employees and their families.
For more information about your benefits plan, please speak with your
Human Resources Department or contact Soben.
MEDICAL BENEFITS CLAIM FORM
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
Your Benefits Plan has been in operation since 1981, working to provide the most comprehensive coverage possible. The Trustees recognize that benefits are very important to the health and productivity of the employees and their families.
For more information about your benefits plan, please speak with your
Human Resources Department or contact Soben.
OUT-OF-GTA DENTAL CLAIM FORM
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
Your Benefits Plan has been in operation since 1981, working to provide the most comprehensive coverage possible. The Trustees recognize that benefits are very important to the health and productivity of the employees and their families.
For more information about your benefits plan, please speak with your
Human Resources Department or contact Soben.
PRESCRIPTION DRUGS
DRUGS REQUIRING A SPECIAL AUTHORIZATION
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
SPECIAL AUTHORIZATION FORM
Soben Management Ltd. is the benefits plan administrator that takes care of the day to day operations of the Plan. ClaimSecure administers your prescription drug cards. The UNITE HERE Wellness and Dental Centre is dedicated to providing excellent, medically necessary care in a pleasant, warm, health oriented environment.
Your Benefits Plan has been in operation since 1981, working to provide the most comprehensive coverage possible. The Trustees recognize that benefits are very important to the health and productivity of the employees and their families.
For more information about your benefits plan, please speak with your
Human Resources Department or contact Soben.