To file a Claim, download your Supplimentary Health Statement of Expenses here:
Complete and attach the appropriate receipts and send to:
Ontario UFCW Health & Welfare Fund
Suite 110 - 61 International Blvd.
Toronto, Ontario M9W 6K4
Effective January 1, 2021, the Commercial Workers Benefit Trust Fund merged into the Ontario UFCW Health & Welfare Fund. The merger does not change your benefit Plan but it has meant a change to the design of this website and the Fund and Plan name. You’ll note that this site still offers access to the Claims Portal and claims booklets that can be downloaded for your use. If you have any questions regarding this change, please contact the Plan Administrator at the email address or telephone numbers noted at the bottom of the page.
Please refer to the Eligibility Section of your specific Plan Benefit Booklet for details on becoming eligible.
A detailed list of eligible services is located in your Plan Benefit Booklet. If you are still not sure about coverage, you can submit a "Predetermination of Benefits" to the Administrator. This form is prepared by your dentist and provides the details and cost of your dental treatment. A Predetermination is required if the treatment is expected to exceed $400.
Again, a detailed list of eligible services is located in your Plan Benefit Booklet. If you have any questions please contact the Administrator.
You may download a Health Claim Form or Dental Claim Form
from this website. Complete it in full including signature and
date, attach all related receipts and/or invoices, and mail it
to the Administrator.
From the date your claim is received it normally takes 3 business days to be processed and for payment to be issued. If the information you submit is incomplete or additional information is required there will be a delay in payment.
No, at this time all dental claims must be submitted on Dental Claim forms and mailed to the Administrator.
Please refer to your specific Plan Benefit Booklet for details regarding termination of coverage.
You must advise the Administrator that you are both Members of this Plan, and when submitting claims you may submit two (2) Claim forms, one completed in full for each of you. Benefits can then be coordinated between you and your spouse.
Claims for you must be submitted to your own Plan first. Keep copies of all your receipts/invoices, and then submit them to your spouses Plan with a copy of the payment from your Plan. Benefits can then be coordinated, not exceeding 100% of the total charges. Refer to the Coordination of Benefits section of your Plan Booklet.
In some cases benefits are continued during an absence from work due to disability. Check your specific Plan Benefit Booklet for further details or contact the Administrator.
A beneficiary is a person or persons whom you have chosen to receive your Life Insurance benefit in the event of your death. The Registration Card has a section that requires a designation of a beneficiary. This can be changed periodically by completing and submitting a new Card to the Administrator.
Ontario UFCW Health & Welfare Fund
Suite 110 - 61 International Blvd.
Toronto, Ontario
M9W 6K4
Phone: (416) 674-3350 or
toll-free at 1-800-461-4361
Email:
ontufcwclaims@pbas.ca