*NOTE - Dental Plan Claims: You will need to submit a Standard Dental Claim Form (available at any dental office). Have your dentist complete the appropriate section of the dental claim form, attach the standard claim form to a GSU claim form (available below) and mail it to Green Shield.

Green Shield Claim Form (pdf)

This claim form is for both health and dental claims.

All benefits are paid on a reimbursement basis. When you have paid a medical expense that is covered by this plan attach your receipt to a claim form and mail them to Green Shield (see address and instructions on back of claim form). Students have 12 months after a claim is incurred to submit it to Green Shield. It is wise to submit them at least once every three months.

Please delay submitting your September and October receipts until November, when the opt-out/in period ends and Green Shield receives the list of eligible students. We do not provide Green Shield with your birthdate. Please use 1/1/60, the generic date they have given our students.

The completed forms, receipts and documentation should be sent to the insurance company at:

Green Shield Canada
P.O. Box 1699
Windsor, Ontario
N9A 7G6

IT IS YOUR RESPONSIBILITY TO KEEP COPIES OF ALL RECEIPTS SUBMITTED.

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Questions? Contact our Health Insurance Staff at 978-8465, health.gsu@utoronto.ca