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Da townley 2026

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The document is an Extended Health Benefits Claim form from D.A. Townley, located in Burnaby, BC. It provides instructions for members to submit claims for health expenses, including details on required information such as personal data, receipts, and insurance coverage. The form also includes sections for listing expenses by insured person and notes on dual coverage and motor vehicle accidents. Members are advised to retain copies of receipts as originals will not be returned.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Policy No. and I.D./Certificate Number at the top of the form.
Fill in your personal details: Member Last Name, First Name, Address, City, and Postal Code.
Indicate your Employer or Union Affiliation for proper identification.
List all expenses grouped by insured person in date order. Include the Name, Relationship to Employee, Birth Date, Date of Purchase, Drug/Service Provided, Prescription DIN, and Amount Charged for each entry.
If applicable, provide information regarding any other insurance coverage and specify if any expenses are related to a motor vehicle accident or Workers Compensation claim.
Sign and date the form at the bottom to authorize the release of information for claims processing.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (93 Votes)
2015	4.4 Satisfied (180 Votes)

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Is D.A. Townley closing in 2025?

Effective June 1, 2025, Convyta Partners will take over as the day-to-day administrator of both Plans. This change is being made as a result of the closure of our current administrator, D.A. Townley.

Where is D.A. Townley from?

D.A. Townley Associates Ltd. is based in Burnaby, British Columbia.

What is D.A. Townley known for?

D.A. Townley is western Canadas leading and largest employee benefits third party administrator (TPA).

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Who owns D.A. Townley?

D.A. Townley is a wholly-owned subsidiary of Pacific Blue Cross and is Western Canadas largest third party employee benefits administrator.

Da townley 2026

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