Claim for Health care benefits 19132A - Home - DFS

CI Signature Canadian Balanced Fund - Home - DFS

Printed on July 25, 2018 CI Signature Canadian Balanced Fund Fund Category Canadian Neutral Balanced General Information Fund Code 316 Fund …

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DFS BlackRock MSCI All Country World Index Fund

Printed on July 25, 2018 DFS BlackRock® MSCI All Country World Index Fund Fund Category Global Equity General Information Fund Code 244 Fund Inception May 2011 Underlying Inception September 2007

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DFS BlackRock LifePath 2020 Index Fund - Home - …

Printed on July 25, 2018 DFS BlackRock® LifePath® 2020 Index Fund Fund Category Short-term Target Date Portfolio General Information Fund Code 302 …

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DFS BlackRock LifePath 2045 Index Fund - Home - …

Printed on July 25, 2018 DFS BlackRock® LifePath® 2045 Index Fund Fund Category 2035+ Target Date Portfolio General Information …

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Mawer International Equity Fund - Desjardins Life …

Printed on July 25, 2018 Mawer International Equity Fund Fund Category International Equity General Information Fund Code 325 Fund Inception May 2015

Multi-Management 90/10 Fund - DFS

Printed on July 25, 2018 Multi-Management 90/10 Fund Fund Category Canadian Equity Balanced General Information Fund Code 404 Fund Inception September 2002

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PRIOR AUTHORIZATION REQUEST - Desjardins Life Insurance

10108E (2017-04) Page 1 of 2 Drug name Formulation Strength Dosage Patient’s weight Scheduled duration of treatment The patient is receiving or will receive the treatment in a hospital setting: Yes No

  Authorization

CC&L Canadian Equity Fund - Desjardins Life Insurance

CC&L Canadian Equity Fund Fund Category Canadian Equity General Information Fund Code 320/720 Fund Inception October 2014 Underlying Inception July 1999

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Fidelity Canadian Balanced Fund - Desjardins Life Insurance

Fidelity Canadian Balanced Fund Fund Category Canadian Neutral Balanced General Information Fund Code 250 ... stream by investing in a diversified portfolio of stocks, fixed-income securities and high yield securities. Equity ... Global Equity Sectors % Equity Utilities 0.1 Energy 16.8 Financials 24.5

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DFS GIF – Canadian Balanced – Fidelity

Portfolio Analysis as of October 31, 2018 Asset Mix % Assets Cash 2.5 Fixed Income 48.0 Canadian Equity 40.2 US Equity 9.1 International Equity 0.1 Other 0.1 ... DFS GIF – Canadian Balanced – Fidelity Disclosure Notes Disclosure Any amount that is allocated to a GIF is invested at the

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Extended Health Care and Health Spending Account Claim …

Page 1 of 2 EHC-HSA-E-10-17 Extended Health Care and Health Spending Account Claim Form If you’re covered under more than one benefits plan, you should consider submitting your claim to the other plan(s) before using your

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EXTENDED HEALTH CARE and HEALTH SPENDING …

EXTENDED HEALTH CARE and HEALTH SPENDING ACCOUNT CLAIM RC020_09.13 EMPLOYEE STATEMENT Employer Date of Birth Group & Division # Certificate # Male

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Flexible Spending Health Care Reimbursement Account …

AD1113 12-15 . ORIGINAL SUBMISSION RESUBMISSION . Flexible Spending . Health Care Reimbursement Account Request . A. INSTRUCTIONS • Complete sections B, C, and D

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Health Flexible Spending Account Frequently Asked …

AT 6007 20101101 3 Health Flexible Spending Account Frequently Asked Questions 1. Lump Sum Approach – You may be reimbursed up front for all qualified expenses paid in the current plan year. Documentation must include treatment start date, anticipated treatment end date, proof of payment and a

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How to File a Claim for Approval - take care® by WageWorks

3867 03/2015) Tips For Claim Submission • An eligible dependent is defined as a spouse, qualifying child, or qualifying relative. • A qualifying child is defined as a tax dependent child up to age

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Health Plans Tax-Favored and Other Page 1 of 22 9:37 - 1 ...

Page 3 of 22 Fileid: … tions/P969/2017/A/XML/Cycle03/source 9:37 - 1-Mar-2018 The type and rule above prints on all proofs including departmental reproduction ...

  Health