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LiUNAcare Local 183
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Claim Form
Child Disability Benefit
Long Term Care
Special Medical / Hospital Coverage While in Canada
Emergency Out of Province Medical Coverage
Hospital Cash Claim Form
Nursing Care
Critical Illness – Neurologic Disorders
Critical Illness – Muscular Dystrophy
Critical Illness – Heart Related Conditions
Critical Illness – Claimant Statement (to be completed for all CI Illnesses)
Critical Illness – Bacterial Meningitis, Benign Brain Tumor, Coma, Stroke
Critical Illness – Additional Dependent Child Critical Illnesses
Dental Care
Medical Cannabis Prior Authorization Form
Speech Therapy Medical Questionnaire
Speech Therapy Medical Questionnaire
Life Insurance Claim Form
Critical Illness – Loss of Sight, Hearing, Speech, Limbs, Independent Existence, Paralysis
Critical Illness – Occupational HIV Infection
Critical Illness – Cancer
Critical Illness – Kidney Failure Major Organ Transplant or Failure on Waiting List Aplastic Anemia
Vision Care
Special Needs Life Insurance Claim Form
Short Term Disability (STD) Application Package
Permanent and Total Disability Accident
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Welcome to LiUNAcare Local 183
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