For your convenience, we have provided a list of documents and forms below. All are available for downloading.
BBD Forms
Application for Group Weekly Indemnity Insurance
Green Shield General Claim Submission Form (Fillable)
Green Shield Mondial Claim Form for Emergency Medical Expense (Fillable)
Optional Accidental Death and Dismemberment Insurance
Optional Life Insurance Application
Pacific Blue Cross - Extended Health Care Claim Form
Remote Forms
Green Shield Health Care Spending Account Claim Submission Form (Fillable)
Please contact us if your group plan is not a Benepac® plan, and you require an application for optional benefits for another insurer.
