Dependant with Special Needs Eligibility form
Abstract:
Green Shield Canada Dependant with Special Needs Eligibility form
This form must be completed in full and received at the STF Members’ Health Plan Office by the dependent child’s 21st birthday to avoid interruption in coverage. Any charge for completing this form is the responsibility of the member.
Version Notes:
November 2018
THIS DOCUMENT ALSO APPEARS ON THE FOLLOWING PAGES
Page - Content
