GMS - Documents

Documents

	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.
	Hospital Cash Claim Form For Individual Health Plans with the Hospital Cash Option. Only for Hospital Cash claims.
	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.
	Trip Cancellation & Interruption Claim Form For TravelStar Trip Cancellation & Interruption claims.
	Baggage Claim Form For TravelStar Baggage Loss, Damage & Delay claims and Golf Clubs, Skis, Sports Equipment, Laptop & Computer Equipment claims.

	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)
	Pre-Authorized Debit (PAD) Agreement Authorizes a monthly debit from your bank account to pay your premium. This form can also be used to make changes to your pre-authorized debit information.
	Pre-Authorized Debit (PAD) Cancellation Notice Cancels a monthly debit from your bank account
	Request for Information Form Request for the release of personal GMS information
	Consent to Disclose Personal Information Form Authorization for the release of personal information by GMS