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For Office Use OnlyApplication PRISM PRECISION Source/Agent I.D. NumberEffective Dates I.D. NumberGSWApproved by:Green Shield Canada SECTION Badge NumberCoverage Information(Please print clearly or

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How to fill out application - green shield

01

Start by downloading the application form from the Green Shield website or request a physical copy from their office.

02

Carefully read through the instructions and gather all the necessary documents and information required to complete the application.

03

Fill out the application form accurately and legibly, providing all the requested personal and medical information.

04

Double-check all the details filled in and ensure that all sections are properly filled.

05

If applicable, attach any supporting documents or medical reports as mentioned in the application instructions.

06

Review the completed application form to ensure there are no errors or omissions.

07

Sign and date the application form as required.

08

Make a copy of the filled application form and all the supporting documents for your records.

09

Submit the completed application form either online or by mail to the Green Shield office.

10

Wait for a confirmation or response from Green Shield regarding the status of your application.

Who needs application - green shield?

01

Anyone who wishes to apply for Green Shield coverage can fill out the application form.

02

This includes individuals who want health insurance, dental coverage, prescription drug benefits, or other services offered by Green Shield.

03

Both individuals and families can apply for Green Shield, depending on their specific needs and requirements.

04

Employers may also need to fill out the application form if they want to provide Green Shield benefits to their employees.

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What is application - green shield?

Application - green shield is a form that needs to be filled out in order to apply for health insurance coverage provided by Green Shield.

Who is required to file application - green shield?

Anyone who wishes to apply for health insurance coverage provided by Green Shield is required to file the application - green shield.

How to fill out application - green shield?

The application form for Green Shield can be filled out online on their website or through a paper form provided by their offices.

What is the purpose of application - green shield?

The purpose of the application - green shield is to gather information about the individual applying for health insurance coverage in order to determine eligibility and coverage options.

What information must be reported on application - green shield?

The application - green shield typically requires personal information such as name, date of birth, address, contact details, and any previous medical history.

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