Important Forms for HCP Plan Members

Forms for changes to your plan can be completed and submitted digitally. If you prefer to print and complete them manually, please mail to:

Health Care Providers Group Insurance Plan

1032 Brock St S.

Whitby, ON L1N 4L8

Making Extended Health Care Benefit Claims

All claims are processed by Greenshield Canada and should be sent directly to their offices. Claim forms can be found here:
Claim forms for do-it-yourself claim submission

All claim and claim form inquiries should be directed to Greenshield Canada directly by calling 1-888-711-1119.

Making Changes to Your Plan

Signature or Supreme Enrollees ONLY
  • You have chosen to apply for any optional or additional life insurance or long term disability
Signature or Supreme Enrollees ONLY

Any enrollee who chooses to apply for optional life insurance and/or excess long term disability must complete this worksheet.

Signature or Supreme Enrollees ONLY

Any enrollee who chooses to apply for spousal life insurance.

Signature or Supreme Enrollees ONLY

Any enrollee who chooses to apply for child life insurance.

Any plan member formerly covered under the HCP plan as a dependent and wishing to continue with coverage of his/her own

Any covered dependent attending a post-secondary educational institution and wishing to retain his/her coverage

Any current plan member looking to make changes to his/her contact information or dependent/spousal coverage options

Any current plan member looking to make changes to his/her package or plan coverage options

Signature or Supreme Plan Members ONLY 

Any plan current plan member looking to make changes to his/her beneficiary

Are you prepared for the unexpected?

You never know what the future holds, but with HCP, you will have peace of mind knowing that you and your family are well protected.

REQUEST A QUOTE