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Super Visa Insurance | Claim Forms

First Step- Inform the insurance company immediately about claim, have claim reference number followed by claim forms.

Manulife Assignment of Benefits

Manulife Dental Claim Form

Manulife Health Care Claim Form

Manulife Prescription Drug Special Reimbursement Request

GMS

Travel Underwriters

TIC

MRM Chartis Claim form

Manulife Assignment of Benefits
Manulife Dental Claim Form
Manulife Health Care Claim Form
Manulife Prescription Drug Special Reimbursement Request
GMS Health Benefits Claim Form
Travel Underwriters Claim Form
TIC Visitor to Canada Medical Insurance Claim form
MRM Chartis Claim form

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Questions | Phone Application

AB ---- 403-800-4249,
            780-800-2478

BC ---- 250-900-0210
            604-900-1233

ON ---- 613-912-7856

QC ---- 514-800-8242

SK ---- 306-500-5393

Toll Free 1-877-525-1278

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