Support materials

Would you like to download an application or brochure? Or, get a form to change your personal information? 
You’re in the right place.

Please download, print, and complete the required form and return it to Manulife according to the address listed in the form.

Applications (PDF)

Brochures (PDF)

Need to make a change?

You can use the forms below to make changes to your personal information, payment information, beneficiary and more.

Need a receipt for tax purposes?

You can obtain your previous year's Health & Dental premium (tax) receipt by going online to edocs.memberhealthplan.com. To access your receipt you will need your plan and identification number found on your benefit card. If you have previously registered online, please sign in using your email address and password to obtain your receipt. If you have any questions or need assistance on this process, please contact 1-800-268-3763 Monday through Friday anytime between 8:00 AM to 8:00 PM EST.

Health & Dental Claims

First, check to see if your provider has already submitted your claim. Often, you don't have to submit a claim because many hospitals, pharmacies and dentists can submit your claim directly to us. There's no online form or paperwork for you, and you only pay the amount your plan doesn't cover.

If your provider hasn't already submitted your claim, you can submit your claim online or on paper by mail.

Submit your claim online

  • Within 12 months of the date you were charged
  • If you've paid more than any deductible in your plan
  • Specify the currency if your claim is for services outside Canada
  • Hold onto receipts and applicable supporting documentation for 12 months

Submit your claim on paper by mail:

Extended health claim form (PDF)
For all covered expenses except dental expenses

Dental benefit claim form (PDF)
To be completed by your dentist or dental specialist

  • Within 12 months of the date you were charged
  • After you've paid more than any deductible in your plan
  • Specify the currency if your claim is for services outside Canada
  • Include receipts and applicable supporting documentation
  • Make sure you've completed and signed your claim form

 

Life Insurance Claims

To submit a life insurance claim, please call 1-800-396-4389
You will need to mail in any supporting documentation to Manulife as directed by your Manulife representative.

Manulife
Affinity Markets
P.O. Box 670, Stn. Waterloo
Waterloo, ON 
N2J 4B8