How to guide
Hour Bank and Office Supervisory Plan
To submit a health care or dental expense, you can:
Use your pay-direct card at providers that direct bill GreenShield
(card example shown below):
Submit the claim online through:
MyBenefitsConnect
Submit a claim by email or mail to OpenCircle using a claim form:
Health and Dental Claim Form
Paper claims (with receipts) can be sent to the corresponding address below. To avoid additional postage costs, please submit claims in one envelope to any of the addresses listed below.
PROFESSIONAL SERVICES
PO Box 1699, Windsor, ON N9A 7G6
MEDICAL ITEMS
PO Box 1623, Windsor, ON N9A 7B3
VISION & ACCOMMODATION
PO Box 1615, Windsor, ON N9A 7B3
DRUG
PO Box 1623, Windsor, ON N9A 7B5
DENTAL
PO Box 1623, Windsor, ON N9A 7
For out-of-country medical, life, disability or accidental death or dismemberment claims, please contact OpenCircle Benefits.
Beneficiary Designation Form (English) – for Employee Life Insurance
Beneficiary Designation Form (French) – for Employee Life Insurance
