The benefit year runs from July 1 to June 30.
In order to have your claims processed, Sun Life must receive your claim prior to the September 30th following the end of the benefit year in which the claims were incurred.
To be eligible for group benefits, you must:
Your dependents become eligible for coverage on the date you become eligible or the date they first become your dependent, whichever is later. You must enroll for coverage for yourself in order for your dependents to be eligible.
There is no waiting period for you or your dependents for your group plan.
If you are eligible to receive additional health benefits through the University’s insurance provider, Sun Life (as indicated in your letter of offer), your qualified dependents will also be eligible to receive these benefits. According to Sun Life, your dependent must be your spouse or your child and a resident of Canada or the United States and maintaining provincial health coverage (or University Health Insurance Plan coverage).
To add a dependent to your Sun Life benefits, you must complete the ‘Extended Health and Dental Positive Enrolment Form’ and submit it to your HR Area Office. Be sure to include all eligible dependents as only the most recent form submitted is kept on file.
My Sun Life provides you with easy online access to your benefits information and the ability to submit claims online. To sign up you will need to enter your contract number and member ID (which you should receive during your Welcome Meeting from your HR Representative). Depending on your plan, My Sun Life provides a convenient location to:
Additionally, My Sun Life offers a mobile app available through Google Play, the App Store, or BlackBerry World. Through the app you can access all the same features as the My Sun Life website.
For more information, visit https://hr.mcmaster.ca/employees/total-rewards/benefit-information/
MAKING E-CLAIMS: Most benefit claims can be submitted online directly to Sun Life for instant processing through My Sun Life. Most claims are processed instantly and you can access your claim statement right away. You will receive an email letting you know when your claim payment has been deposited to your bank account, usually within 24 to 48 hours.
PAPER-BASED CLAIM SUBMISSIONS: If you need to mail a claim, you can download a paper claim form from My Sun Life with your personal information already filled in, or get a copy of the ‘Extended Health Care Claim Form’ from Human Resources.. Just complete the remaining information then print, sign, attach your receipts and send it to Sun Life at the address shown on the form. Be sure to keep a copy of all receipts and claims submitted. Reimbursements will be mailed directly to your home address if you are not enrolled in the direct deposit program.
Visit Human Resources Services for more information.
If you or your dependents are covered for Extended Health or Dental Care through Sun Life and another plan, your Sun Life benefits will be coordinated with the other plan following insurance standards. These standards determine which plan you should claim from first. If you have any questions about where to submit your claims, your HR Representative can help you. Some guidelines for claim submission include:
Did you know?Emergency medicine faculty and medical students have designed a unique new board game called GridlockED, which is designed to be an educational tool to help future doctors learn system approaches to multi-patient management in a safe, low-stakes environment. In the game, players work together to treat and prioritize patients. The goal is to take care of as many patients as possible, manage an eight-hour shift and maximize points. Key students involved are from the Niagara Regional Campus of the MGD School of Medicine. Proceeds from the game will support research initiatives in emergency medicine at McMaster.