Claim forms may be obtained from the Trust Fund’s administrator or the Claims Office or from Benefit Plan Administrators website: http://www.bpagroup.com. Your dentist’s office will have a supply of generic dental claim forms that are also acceptable. Please note that an original claim form signed by your dentist must be mailed to the Claims Office. Electronic submission of claims is not allowed.
Before submitting the claim form, ensure that all questions have been answered, that you have signed your name and clearly identified yourself by full name and have indicated your return mailing address and your employer and Union. Faulty or missing information will only result in a delay in processing your claim.
If the claim is for your dependent, provide the dependent's first name, date of birth and relationship to you.
When you are sure that all of the above has been completed, forward the form to the Claims Office. Your benefit cheque will be mailed directly to you, or if you wish you may assign benefits to be paid directly to your dentist.
Mail Dental Claims to:
Benefit Plan Administrators Limited
P.O. Box 3071, Station A
Mississauga, Ontario
L5A 3A4
905-275-6466 or 1-800-867-5615
Proof of Loss
Written proof stating the occurrence, character and extent of loss must be submitted for each benefit to the administrator within 15 months after the date of the loss, but not more than 90 days after the date coverage terminates, for Dental Care Benefits.
To prevent fraud it is the member’s responsibility to verify the information contained in each Explanation of Benefits paid, in order to ensure you actually received those services.
