Claim forms are available from your employer or from our website
Employee and Dependent Life, Short Term Disability (Weekly Indemnity), and Long Term Disability claims should be sent to:
Manager, Group Benefits Plans
Northern Employee Benefits Services
#700, 5201 50th Avenue
Yellowknife, N.T. X1A 3S9
Upon completion, Extended Health Care, Vision Care and Dental Care claims should be sent to:
Group Claims Department
1920 College Avenue
REGINA, Saskatchewan S4P 1C4
Claims must be sent to The Co-operators within one year from the date of service, to be considered for payment.
Prescription drug claims can be submitted electronically if your pharmacy has the capability to submit drug claims online. If your pharmacy does not accept online transmission please complete a standard Extended Health Care claim form and submit it to Co‑operators Life.
Extended health care claim forms must be accompanied by receipts which give sufficient detail to assist in the settlement of the claim. Dental claim forms must be completed by you and your dentist, and a separate form is required for each person seeing the dentist.
Dental Claims and Dental treatment plans for pre-determination may be submitted electronically if your dental office has the capability to submit claims online. If your dental office does not accept online transmission please complete a standard Dental Association claim form and mail it to The Co‑operators.