Use this medical form to submit an LTD claim. Use this form to submit a long-duration disability claim.Īttending Physician’s Statement – LTD (General) (045-1355-GEN / 045-1356-GEN) Use this medical form to submit a short-term disability claim. Use these forms to report an absence under salary continuance services.Īttending Physician Statement – disability claim (020-3485-STD-LTD) Use these forms when you want to submit an STD claim. Short-term disability (STD) – plan member package Use these forms when you want to submit an LTD claim. Long-term disability (LTD) – plan member package Use this form when you want to submit medical expenses and services claims under your health spending account. Use this form when you want to submit medical expenses and services claims under your regular extended health-care coverageĮxtended health care – health spending account claim form (EHC-HSA-E) Use this form when you want to submit a dental claim under your health spending account.Įxtended health care – standard claim form (EHC-E)
SUN LIFE AMS DOWNLOAD
To fill out the form, first right click the link to download it, then open it in a system viewer like Adobe.ĭental claim – health spending account claim form (DENT-HSA-E)
SUN LIFE AMS PDF
This is a fillable PDF and cannot be completed in a browser. Use this form when you want to submit a dental claim under your regular dental coverage. If so, you can find the most popular non-personalized group claims forms here.* Dentalĭental claim – standard claim form (DENT-E) Your employer or organization may not have personalized claims forms.
0 kommentar(er)
