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Health Claim Form
To submit a manual claim, complete an insurance
Health Claim Form
, attach the original receipts and documents, and mail to the insurer. Remember to keep a copy of all original documents for your records.
The following information is required on the claim form:
Green Shield Canada ID Number:
Your GSC ID number begins with your school's three-letter code, followed by your student ID number, and ends in -00.
Example: RSU123456789-00
Surname:
Your Last Name (as on file with Ryerson University)
First Name:
Your First Name (as on file with Ryerson University)
Address, City & Province:
Your Current mailing address
Email Address:
Your current email address
Phone Number:
Your current phone number
Company Name:
Ryerson Students' Union
Mailing instructions are found in Section 5 of the Health Claim form.
PLEASE NOTE:
When submitting claims to Green Shield, please ensure to include the original receipt along with the proof of payment (for example, the debit/credit approval receipt). Including all of this paperwork will ensure there is no delay in processing your claim.
Service Members
Find a Practitioner/Pharmacy
Find a Practitioner Select List
Rexall Network
Find a Practitioner text box
Submitting Claims
Policy Information
Pay-Direct Claims
Electronic Claims
Mobile Claims
Health Claim Form
Dental Claim Form
Coordination of Benefits