As a Member of the International Association of Heat and Frost Insulators & Allied Workers, Local No. 118 Health and Wellness Trust Fund, the Plan Administrator requires certain information from you in order to provide your health coverage and ensure that any claims that you may submit are processed correctly.
Enrolment
Enrolment Card
As a new Member to the Plan, please complete the Enrolment Card and Beneficiary Designation form to provide the Plan Administrator with the full information regarding yourself, your selected beneficiary and all dependents that you wish to cover under the Health & Wellness Plan.
MSP Application
You must complete the MSP Application for Group Enrolment form if you wish to be covered for MSP under the Health & Wellness Plan.
Changes
If you are an existing Member of the Plan, you must notify the Plan Administrator immediately if your personal information, dependent information or beneficiary has changed in order to ensure that coverage is continued and claims are assessed properly.
Change Card
If your personal information, dependent information or beneficiary has changed, please complete the Enrolment Card and Beneficiary Designation form in full to notify the Plan Administrator.
MSP Change
You should complete the MSP Group Change Form if you are covered for MSP under the Health & Wellness Plan and you want to add or delete a dependent.
Filing A Claim
As a Member of the International Association of Heat and Frost Insulators & Allied Workers, Local No. 118 Health and Wellness Trust Fund, you are eligible to receive certain benefits as outlined in your Benefits Plan Booklet. In order to receive the benefits that you are entitled to, you must file a claim with the Plan Administrator. This can be done in different ways, depending on the benefit you are looking to claim.
If you have registered for the NEW D.A. Townley My Claims portal or mobile app, you can submit your claim (everything except Dental/Weekly Indemnity/Long Term Disability) directly to the Plan through the portal or the app. Alternatively, you can complete the applicable claim forms (see below) and submit them to the Plan Administrator:
Use the Dental Claim Form if you’ve paid your dentist the full cost of the services that are covered under the Plan and you wish to be reimbursed.
Use the Extended Health Benefits Claim form if you’ve paid for Extended Health expenses (prescription drugs, physiotherapy, chiropractor, eyeglasses, etc) and wish to be reimbursed.
Use the Weekly Indemnity Benefits Claim form to make your claim for Weekly Indemnity benefits if you have become unable to work, while covered for this benefit, because of an accident, sickness or pregnancy, provided you are under the regular care of a physician.
Your fully completed claim form and receipts can be emailed to health@datownley.com or faxed to (604) 299-8136 or mailed to the Plan Administrator.