Cost Efficient Benefit
Plan (a
div. of Paloma Ventures Ltd.) is based in Calgary, Alberta,
serving all of Canada as a third party administrator for the Private
Health Services Plan (PHSP).
YOUR PERSONAL PRIVATE HEALTH
SERVICES PLAN (PHSP)
CLIENT FORMS
To enroll, fill out and submit the enrollment forms.
Use this form to enroll in the Private
Health
Services Plan (PHSP). The included Terms form explains the agreement between your
company
and Cost Efficient Benefit Plan.
VISA and MasterCard accepted for enrollment fee only.
Note new mailing address effective Jan 2010
234, 5149 Country Hills Blvd. NW, Ste. 513 Calgary, Alberta T3A 5K8
Use this form when
you have a claim to submit.
Once we have received
your enrollment forms and the enrollment fee ($150.00; GST included) you may proceed
to submit a claim
