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Extended Health Benefit - Wawanesa Insurance

Extended Health Benefit - Wawanesa Insurance

www.wawanesa.com

EHB Claim Form Page 1 of 1 13/11 MAIL TO: Group Operation Extended Health Benefit 400 – 200 Main Street, Winnipeg, MB R3C 1A8 1-800-665-7076 /Vision Claim Form CLAIMING INSTRUCTIONS 1. This form is to be completed by the Plan Member. ... General Counsel and Secretary, The Wawanesa Life Insurance Company, 900 – 191 Broadway, Winnipeg ...

  Health, Form, General, Benefits, Insurance, Claim form, Claim, Extended, Extended health benefit, Wawanesa insurance, Wawanesa

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