Private Health Services Plan Client Forms
To enroll in the Private Health Services Plan (PHSP) with Cost Efficient Benefit Plan, fill out and submit the enrollment form.
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.
The enrollment fee of $100 plus GST/HST can be paid over the telephone (VISA or MasterCard only).
Once we have received your enrollment form and the enrollment fee you may proceed to submit your claim.
To submit a claim, fill out the remittance form with the description of the expenses incurred. To expedite your form, please attach your scanned documents. To attach additional documentation, use the link below. Once we have received the claim and reviewed the receipts, we will contact you via e-mail with any questions or to confirm the amount owing, along with instructions on how to pay. Please feel free to contact us if you have any questions about the process, or to obtain your account number for online banking. We will process your claim quickly.
Use the above link if you need to upload any additional receipts which were not included with the remittance form, or to upload a void personal cheque or direct deposit form, should you wish to be set up for direct deposit refunds.
Simplify Your ClaimsSubmit Your Claims Electronically
Submit your claims conveniently by choosing the ‘Remittance Form’ option. Just answer a few questions regarding your claim, attach an electronic copy* of your receipt and submit.
Enjoy the convenience of electronic claim submission and avoid the burden of filling out paper claim forms and mailing in your claims.
This means CEBP receives your claims sooner so you can get your money faster!
*Scanned images of receipts must be clear, and legible. Files may contain multiple pages, but must be less than 3MB in total size. A maximum of 5 files may be submitted at any one time. Acceptable file types are gif, jpg, png, pdf, and tif.
Be sure any transaction slip (debit/credit card receipt) does not cover pertinent information (e.g. name(s), date(s) of service, etc.) on your provider receipt when scanned.
CEBP has the right to ask for original receipts at any time, so please retain your original receipts.
Your claim may be paid online at most major financial institutions. Look for Cost Efficient Benefit Plan on your financial institution’s list of Payee’s. Contact us to obtain your account number for online banking.
Direct Deposit is available to reimburse you without waiting on the mail. Please provide a void cheque with your banking information and we will set up direct deposit on your file.
Your funds will be deposited directly into your bank and a Statement emailed to you conserving time, paper, and postage.
We retain all receipts submitted to Cost Efficient Benefit Plan for 7 years, then shred them.