SUBMITTING A CLAIM?

It’s easy.

Your Access Benecaid portal provides you with the option to submit claims, enrol an employee or make changes to your account.
You can also complete a form below and send it by mail.

CLAIMS FORMS

flexStyle® & flexFIT™ Claim Form

Health Spending Account (HSA) Claim Form

Travel Claim Form

ENROLMENT & CHANGE FORMS

Benecaid flexStyle® & flexFit™:

Over-Age Dependent Eligibility Declaration

Employee Beneficiary Designation Form

Employee Beneficiary Change Form

Employee Change Form

Employer Change Form

Company Information Change Form

Employee Enrolment Form

Health Spending Account (HSA):

Pre-Authorized Payment Form

HSA Employer Change Form

HSA Employee Change Form

HSA Employee Enrolment Form

Completed and signed forms can be sent to Benecaid
in one of the following ways:

FAX

Change & Enrolment forms to

1-877-797-7449

MAIL TO

Benecaid
185 The West Mall, Suite 800
Toronto, ON M9C 5L5

SCAN

Change & Enrolment forms
and email to
changes@benecaid.com

These forms are also available to be downloaded through our
Access Benecaid Portal, www.accessbenecaid.com.

If you have questions about submitting claims, our Customer Care team is here to help.
They are available Monday-Friday 8:30am-5:00pm ET via phone 1-877-797-7448
or email customercare@benecaid.com.