Quick Contact
Ottawa office
466 Tremblay Road
Ottawa, ON K1G 3R1

Tel: 613-231-2266
Fax: 613-231-2345
Toll Free: 1-888-613-1234
Winnipeg office
1403 Kenaston Boulevard
Winnipeg, MB R3P 2T5

Tel: (204) 942-4438
Fax: (204) 943-5998
Toll Free: 1-888-204-1234

Submitting your claim

Health or Dental Claims:

Download, print and return by mail, fax or email your completed and signed form, along with all receipts. 

Ottawa

Health Claim Form (pdf)
Dental Claim Form (pdf)

Address:
PO Box 3517, Station C
Ottawa, ON
K1Y 4H5

Fax: 613-231-6180

Email: ottclaims@coughlin.ca

Winnipeg

Health Claim Form (pdf)
Dental Claim Form (pdf)

Address:
PO Box 764
Winnipeg, MB
R3C 2L4

Fax: 204-943-5998

Email: winnclaims@coughlin.ca

*Please be advised that during the current global COVID-19 pandemic, delays in processing may occur.
employee benefits specialists
Important forms
Dental - Medical Claim Forms
Dental & medical claim forms
Pre-authorized deposit forms
Pre-authorized deposit forms
Pre-authorized payment forms (Ottawa only)
Pre-authorized payment forms (Ottawa only)
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Personal financial programs for you and your family.
What's new
March 31, 2020
UPDATE: COVID-19 Coughlin & Associates Ltd. is act...