The following is a compilation of the most frequently asked questions for Plan Members:
All claims are to be mailed to SEB Administration Services Inc., 2110 Kipling Ave, PO Box 1326, Toronto, ON M9W 5L6.
No. For the purposes of verification & auditing, original claim forms & receipts must be sent to SEB Administrative Services.Inc.
Once a claim is received at SEB Administrative Service Inc., the claims payment turnaround time is 3-5 business days.
No. The Health Care & Vision form should be used for submitting a Drug claim for reimbursement.
No. The Health Care & Vision form can be used to submit an extended health care claim for reimbursement.
All claim forms can be obtained from the SEB Administrative Services Inc. website, in the “Form” section.
For information on claim reimbursement, contact our Customer Service Centre at 1-888-939-8885, from 8am - 5pm EST, or you can login to the secure member portal. To ensure prompt service, please have your member certificate & group number available
Your claim may have been denied for a number of reasons that appear summarized on your Explanation of Benefits. For information on your claim, contact our Customer Service Centre at 1-888-939-8885 from 8am - 5pm EST, Monday to Friday, or you can login to the secure member portal. To ensure prompt service, please have your member certificate & group number available.
Your certificate number is listed on your benefit card as your membership number. This membership/certificate number must be communicated on all group plan benefit correspondence. Groups who do not receive benefit cards, may not know their certificate number & will have to call their plan administrator to receive it.
This is a secure method of electronically transferring health benefit claim payments directly into your bank account.
There is a Direct Deposit form that is required to be completed by the Employee. You can obtain this form from the SEB Administrative Services Inc. website, in the “Forms” section. Alternatively, you can contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 8:00am – 5:00pm EST, or you can login to the secure member portal & update your banking preference. To ensure prompt service, please have your member certificate & group number available.
You can update your profile by completing the Direct Deposit form that can be obtained from the SEB Administration Services Inc. website under the “Forms” menu. If a form is required you can contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 9:00am – 5:00pm EST, or you can login to the secure member portal
When a Direct Deposit benefit claim payment is made, you will receive an e-mail (at the email address listed in your enrolment form) advising you that a Direct Deposit payment has been submitted to your bank. To verify your payment details, an Explanation of Benefits will also be forwarded to your e-mail address. If a Direct Deposit health benefit claim payment cannot be processed by your bank, you will receive an e-mail (at the email address listed in your enrolment form) indicating the reason for this. Please note, it can take several days for your bank to confirm the acceptance or rejection of a Direct Deposit payment.
To verify your payment details, you can contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 8:00am to 5:00pm EST, or you can login to the secure member portal. To ensure prompt service, please have your member certificate & group number available.
You can change your Direct Deposit & banking information by contacting our Customer Service Centre at 1-888-939-8885. To ensure prompt service, please have the member certificate & group number available.
No, Your Direct Deposit banking information is maintained in your secure Profile account. No one but you can authorize a change to your Profile account or your Direct Deposit banking information. To verify or modify your Direct Deposit banking information, please contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 8:00am – 5:00pm EST or you can login to the secure member portal. To ensure prompt service, please have your member certificate & group number available.
To ensure you receive your payment, please review the e-mail to determine the reason(s) why your direct deposit payment was unsuccessful. Please contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 8:00am – 5:00pm EST immediately to confirm your banking information (bank name, transit number & account number). Once you have validated this information, we will resubmit a Direct Deposit payment transfer to your account on the next business day. You will receive an e-mail to confirm resubmission of your payment transfer. To ensure prompt service, please have your member certificate & group number available.
A submitted payment is a payment that has been submitted to your bank by the payer for a Direct Deposit. This payment may not yet have been accepted at your bank. Please note that it can take several days for your bank to confirm the acceptance or rejection of a Direct Deposit payment.
A possible reason this may have occured would be whereby a health benefit claim may have been processed prior to the time that your direct deposit enrollment became effective. All future claims will be paid by direct deposit. Or you may have more than one profile account. Direct deposit banking information is determined, based on the data in the your most recently updated profile account.
You may not have received an e-mail for one of the following reasons: 1) your e-mail address in your profile account may be incorrect: or 2) your Internet Service Provider (ISP) may have blocked the e-mail for some reason. Please contact our Customer Service Centre at 1-888-939-8885, Monday to Friday 8:00am – 5:00pm EST or you can login to the secure member portal to verify that your e-mail address is correct. If it is correct, please contact your Internet Service Provider. To ensure prompt service, please have your member certificate & group number available.