Have Questions? + 604.514.3347
Have Questions? + 604.514.3347


Here is a selection of forms you may need to make claims to your Chambers Plan. Please don’t save these files to your computer as forms do change from time to time and you’ll want to be sure you use the most current version. Instead, keep this page bookmarked for future reference. All Claim forms should be sent directly to the Chambers Plan with original receipts.

If you are the plan administrator and would like to change your current benefits please contact our office so that we may assist you with this.

If you have any questions, or if you’d rather we mailed you supplies of various forms, contact our office at 604-514-3347.

Extended Health Claim Form

Travel Coverage Information

Prescription Drug Claim (Telus Assure Reimbursement)

Dental Claim

Dental Accident Claim