Forms, Policies & Publications
GMS Forms, Policies and Publications are available for download and printing as Adobe Acrobat PDF files. Start by selecting a product from the menu at the left to find all related forms and documents.
Download, print and complete any required forms and return to Group Medical Services:
Group Medical Services
2055 Albert Street
PO Box 1949
Regina, SK S4P 0E3
| Claims and Information Update/Request Forms | |
| Health Benefits Claims | |
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Health Benefits Claim Form For health claims submitted for the following plans: GMS Individual Health Plans, GMS Group Advantage® and GMS Insured Group Benefit Plans. This form can also be used to submit dental claims. |
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Group ASO Plan Claim Form For health and dental claims submitted by members of an Administrative Services Only (ASO) Group Plan. |
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Hospital Cash Claim Form For Individual Health Plans with the Hospital Cash Option. Only for Hospital Cash claims. |
| How to submit health and dental claims | |
| Travel Medical Claims | |
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Travel Emergency Medical Claim Form Applicable to all emergency medical claims made while traveling outside your province of residence. Includes claims made in relation to these products: TravelStar® Single Trip Daily & Multi-Trip Annual Travel, Immigrants & Visitors to Canada Plan, StudentPlan, GMS Individual Health Plans. Also used for GMS Group Advantage® and GMS Insured Group Benefit Plans that include travel coverage. |
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Trip Cancellation & Interruption Claim Form For TravelStar® Trip Cancellation & Interruption claims. |
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Baggage Claim Form For TravelStar® Baggage Loss, Damage & Delay claims and Golf Clubs, Skis, Sports Equipment, Laptop & Computer Equipment claims. |
| How to submit travel medical claims | |
| Other Forms | |
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Individual Information Update Form For coordinating benefits from an existing health insurance plan with your GMS Individual Health Plan (Required if you have existing health coverage. See your policy for a definition of coverage that applies) |
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Pre-Authorized Debit Agreement Authorizes a monthly debit from your bank account to pay your premiums. This form can also be used to make changes to your Pre-Authorized Debit information. |
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Pre-Authorized Debit Cancellation Notice Cancels a monthly debit from your bank account. |
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Request for Information Form Request for the release of personal GMS information |
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Consent to Disclose Personal Information Form Authorization for the release of personal information by GMS |
Group Medical Services documents are available in Adobe Acrobat PDF format. Download Adobe Acrobat Reader here.
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