FAQ

Additional Benefit Plan

    What is my policy number with ClaimSecure?

        The policy number is 37925

    What is my certificate number for ClaimSecure benefits?

        The certificate number is the following 3792500 _ _ _ending with your payroll ID number.

    When will my benefits with ClaimSecure be effective?

        Existing employees on or before March 1 2024- coverage will commence March 1, 2024.

        New Hire: Coverage will start after you complete the one-month waiting period.

    How do I access my online profile with ClaimSecure ?

        Employees will log into ClaimSecure’s Member eProfile. Select Logins to register or enter username and password for returning users. Available via desktop www.claimsecure.com or by app using the app store on your mobile device. www.claimsecure.com

    How do I add or remove a spouse or dependent child from my benefits?

        Employees must complete Group Insurance Enrollment Form, located on the SharePoint Folder “Benefit Plan- Additional Coverage” and return to the HR administrator.
        Questions regarding the form may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223. sarahk@wlvinc.com

    What is the benefit top-up coverage with ClaimSecure?

        Employees and their eligible dependents have benefit coverage for Paramedical services of $1,500 and Psychology counseling of $15,000 per certificate per calendar year once core benefit coverage has been exhausted under the plan with Manulife.

    What is the Health Services Spending Account (HSSA) coverage with ClaimSecure?

        Employees and their eligible dependents have HSSA coverage of $2,000 per certificate per year to be used at their discretion and is subject to allowable medical expenses with Canada Revenue Agency (CRA). Link to CRA available under the links tab.

    What is the Wellness Account coverage with ClaimSecure?

        Employees and their eligible dependents have Wellness Account coverage of $2,000 per certificate per year to be used at their discretion for items not standardly covered by a benefits plan.

        Examples: gyms fees, park passes, traditional services, camp fees, sports equipment. Please click on the ClaimSecure section/ Wellness Account for the detailed listing.

    How do I submit a benefit, HSSA or Wellness Account claim?

        Employee e-claims:
        Submit claims through “Member eProfile” on ClaimSecure’s website at www.claimsecure.com or on the app. Receipts must be provided with claim.

        Employee paper claims:
        Mail completed claim form and original receipts to: ClaimSecure
        P.O Box 6500, Station A,
        Sudbury, Ontario
        P3A 5N5
        website: www.claimsecure.com

    What is the claim date for a service?

        The claim date is the date of service, i.e. when the item or service is received. This may be different than the payment date which is an agreement between the provider and the employee.

    What is the deadline for benefit claim submission?

        ClaimSecure must be in receipt of all outstanding benefit claims incurred (date of service) in the current year, within one year from the date of service. Claims received after the deadline will be declined.

    What is the deadline for HSSA and Wellness Account claim submission?

        ClaimSecure must be in receipt of all outstanding HSSA and Wellness Account claims incurred (date of service) in the current year, by February 28th of the following year. Claims received after the deadline will be declined.

    How do I sign up for direct deposit with ClaimSecure?
    How do I find out if my claim has been processed?

        Check “Member eProfile” on ClaimSecure’s website at www.claimsecure.com or on the app to view the status of your claim.

        For further assistance contact Target Benefit Administrators at 1-800-667-4257 or at 416-740-1335 ext. 223 or via e-mail at
        Email: sarahk@wlvinc.com

    Who should I contact if a claim has been denied or I need assistance with a claim?

        Employees may contact our plan administrator Target Benefit Administrators to obtain assistance or request a further investigation, if applicable at 1-800-667-4257 or at 416-740-1335 ext. 223 or via e-mail at: sarahk@wlvinc.com

    What are the services available through Teladoc?

        Services include- Expert Medical; GenMed; EDIS; Mental Health Navigator; myStrength and Mental Health Care. Please see the Teladoc Section under “Benefit Plan Info” on this website for detailed information.

Group Insurance Benefits

    What are the different types of group insurance that are available?

        Employees are eligible to elect Optional Critical Illness and Accidental Death & Dismemberment insurances. All coverage information, booklets, plan overview and forms are located on the SharePoint Folder “Benefit Plan- Additional Coverage”
        Questions regarding the coverage may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223.
        Email: sarahk@wlvinc.com

    When can I add or increase my insurance policies?

        Employees may add or increase Optional Critical Illness (CI) and Accidental Death and Dismemberment (AD&D) insurance policies at any time throughout their career.
        A Medical Application will be required for CI amounts over the guaranteed issue of $5,000. AD&D coverage is not subject to a medical application for any amount.

    What form(s) do I complete to add or increase optional insurances?

        Employees must complete Group Insurance Enrollment Form, located on the SharePoint Folder “Benefit Plan- Additional Coverage” and return to the HR administrator.
        Questions regarding the form may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223.
        Email: sarahk@wlvinc.com

    What will be the effective date of adding or increasing optional insurances?

        The effective date for insurances not requiring Medical Application will be the first of the month following the date the form is received by Target Benefit Administrators. The effective date for insurances requiring evidence of insurability will be the first of the month coinciding with or following the date coverage is approved by the insurance provider.

    How do I cancel optional insurances?

        Employees must complete Group Insurance Enrollment Form, located on the SharePoint Employees must complete Group Insurance Enrollment Form, located on the SharePoint Folder “Benefit Plan- Additional Coverage” and return to the HR administrator.
        Questions regarding the form may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223.
        Email: sarahk@wlvinc.com

    When will my updated beneficiary be effective?

        All updates to beneficiaries are effective the date of signing the Group Insurance Enrollment Form. Target Benefit Administrators must receive the completed form within 15 days of the signed date. It is recommended that employees maintain a copy of the form for their records.

    What form do I complete to update my beneficiaries?

        Employees must complete Group Insurance Enrollment Form, located on the SharePoint Folder “Benefit Plan- Additional Coverage” and return to the HR administrator.
        Questions regarding the form may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223.
        Email: sarahk@wlvinc.com

    What is the difference between Primary and Contingent Beneficiaries?

        The primary beneficiary would receive the insurance proceeds upon the death of the insured. If the primary beneficiary is deceased at the time of the death of the insured, then proceeds are paid to the contingent beneficiary.

        If there is no primary or contingent beneficiary listed, the insurance proceeds will be payable to the estate. Note: Proceeds paid to the estate require an Executor of the Estate or Estate Trustee. It is highly recommended that ALL members have a Will and Powers of Attorney.

Service and General

    Who is Target Benefit Administrators?

        Target Benefit Administrators will be assisting the UCCM Anishnaabe Police Service HR administrator with the new additional benefit plan program. Target Benefits has been providing plan administration services for over 30 years.

    Who do I contact with questions regarding premium deductions?

        Please contact the HR Administrator.

    Who can I contact for assistance with completing Group Insurance Enrollment Form?

        Employees may contact the HR Administrator or Target Benefit Administrators at 1-800-667-4257 or 416-740-1335 ext. 223 or via e-mail at
        Email: sarahk@wlvinc.com

    Where do I send my completed group insurance form?

        A copy of the form is acceptable with an inked signature, digital signatures are not valid. Forms may be provided to or emailed to the HR administrator.

    What do I need to do if I have a name or address change?

        Employees must complete Group Insurance Enrollment Form, located on the SharePoint Folder “Benefit Plan- Additional Coverage” and return to the HR administrator.
        Questions regarding the form may be directed to our Benefits Administrator Sarah Krispanis at sarahk@wlvinc.com or by phone at 1-800-667-4257 ext. 223.
        Email: sarahk@wlvinc.com

    What happens to my if I resign from the UCCM Anishnaabe Police Service?

        The supplemental health plan and any elected additional insurances will end on your last day worked. You will have 30 days to submit any outstanding claims or December 31 whichever comes first.