Claims Submissions
& Forms

How To Resources

In the sections below you will find "How To Guides" for submitting claims for your Hour Bank and Office Supervisory Plans, as well as the Retiree Plan.
If you have any questions about this process please reach out to us.

Hour Bank and Office Supervisory Plan

How to guide

To submit a health care or dental expense, you can:

Use your pay-direct card at providers that direct bill GreenShield
(card example shown below):
**insert image**

Submit the claim online through:
MyBenefitsConnect

Submit a claim by email or mail to OpenCircle using a claim form:
Health and Dental Claim Form

Paper claims (with receipts) can be sent to the corresponding address below. To avoid additional postage costs, please submit claims in one envelope to any of the addresses listed below.

PROFESSIONAL SERVICES 
PO Box 1699, Windsor, ON N9A 7G6

MEDICAL ITEMS
PO Box 1623, Windsor, ON N9A 7B3

VISION & ACCOMMODATION
PO Box 1615, Windsor, ON N9A 7B3

DRUG
PO Box 1623, Windsor, ON N9A 7B5

DENTAL
PO Box 1623, Windsor, ON N9A 7

For out-of-country medical, life, disability or accidental death or dismemberment claims, please contact OpenCircle Benefits.

Retiree Plan

How to guide

To submit a health care or dental expense, you can:Use your pay-direct card at providers that direct bill Canada Life (card example shown below):

Submit the claim online through:
GreenShield+

Submit a claim by email or mail to Canada Life using a claim form:
Health and Dental Claim Form  (English)
Health and Dental Claim Form  (French)

Paper claims (with receipts) can be sent to the corresponding address below. To avoid additional postage costs, please submit claims in one envelope to any of the addresses listed below.

PROFESSIONAL SERVICES 
PO Box 1699, Windsor, ON N9A 7G6

MEDICAL ITEMS
PO Box 1623, Windsor, ON N9A 7B3

VISION & ACCOMMODATION
PO Box 1615, Windsor, ON N9A 7B3

DRUG
PO Box 1623, Windsor, ON N9A 7B5

DENTAL
PO Box 1623, Windsor, ON N9A 7

For out-of-country medical claims, please contact OpenCircle Benefits.

Need Further Assistance

Our team is pleased to answer any of your questions or concerns from 6:30 a.m. to 4:30 p.m. Mountain Time. They are available at:

P: 780.455.5999 (Edmonton Area)
TF: 1.877.263.7266
E: inquiries@opencirclebenefits.ca