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How to Update Your Information with Manitoba Blue Cross: A Step-by-Step Guide

Keeping your personal information up-to-date with Manitoba Blue Cross is crucial to ensure you continue receiving the benefits and services you're entitled to. Whether you need to change your mailing address, update your name, or add or remove dependents, this guide will walk you through the process of completing the Notice of Change Form. By following these steps, you can ensure that your information is accurate and that your coverage remains uninterrupted.

Step-by-Step Instructions:

Step 1: Determine the Type of Change

Before filling out the form, identify the type of change you need to make. The Notice of Change Form accommodates various updates, including:

• Change of Mailing Address
• Change of Name (e.g., due to marriage)
• Addition of Spouse and/or Dependent
• Deletion of Spouse and/or Dependent
• Termination of Coverage
• Coordination of Benefits (if you or your dependents have other insurance coverage)
• Other Changes (Specify as needed)

Step 2: Filling Out the Relevant Sections

Based on the type of change, complete the appropriate section(s) of the form:

Section 1: Change of Mailing Address

• Effective Date: Enter the date the change should take effect.
• Mailing Address: Provide your new street/box number, city, town, province, and postal code.
• Certificate Number: Enter your certificate number.
• Member’s Name: Include your full name.
• Group Number, Roll Number, Employee Number, Employer Name: Provide these details as required.

Section 2: Termination

• Date of Termination: Specify the date on which your coverage should be terminated.
• Reason for Termination: Indicate the reason for terminating the coverage (e.g., leaving the job).

Section 3: Change of Name

• From: Enter your previous name.
• To: Provide your new name.
• Note: If the name change is due to marriage, you must also complete Section 4.

Section 4: Addition of Spouse and/or Dependent

• Name in Full: Enter the full name of the spouse or dependent you want to add.
• Relationship to Member: Check the appropriate box (e.g., legal spouse, common-law spouse, child).
• Date of Birth: Enter the date of birth of the added individual.
• Gender: Indicate the gender of the added individual.

Section 5: Deletion of Spouse and/or Dependent

• Name in Full: Provide the name of the spouse or dependent to be removed.
• Reason for Deletion: State the reason (e.g., divorce, no longer a dependent).
• Date of Deletion: Enter the date when the deletion should take effect.

Section 6: Coordination of Benefits

• Coverage Information: Indicate whether you or your dependents have coverage through another insurance plan or if coverage has been lost.
• Benefits Covered: Check the boxes corresponding to the benefits covered by the other insurance (e.g., ambulance, dental, prescription drugs).
• Name of Insured and Insurance Company: Provide the name of the insured and the insurance company.

Section 7: Other Changes

• Specify Other Changes: If you have any other changes not covered by the sections above, specify them here.

Step 3: Sign and Date the Form

After filling out the relevant sections, make sure to sign and date the form. This is crucial to validate your request.

Step 4: Submit the Form

Once completed, submit the form to your Plan Administrator. Ensure that all information is accurate and that you’ve provided any necessary documentation, such as proof of age or a copy of your marriage certificate, if required.

Troubleshooting Tips

• Ensure Accuracy: Double-check all details before submission to avoid delays in processing.
• Provide Necessary Documentation: Attach any required documents, such as proof of age or a marriage certificate, to prevent processing issues.
• Contact for Assistance: If you have questions or need help completing the form, contact Manitoba Blue Cross at 204.775.0151 or 1.800.873.2583.

FAQ Section

Q1: How long does it take to process a change of information? Processing times may vary, but changes are typically reflected within a few business days. Contact your Plan Administrator for specific timelines.

Q2: What should I do if I lose my Manitoba Blue Cross card after updating my information? If you lose your card, contact Manitoba Blue Cross immediately to report the loss and request a replacement.

Q3: Can I update multiple changes at once? Yes, you can update multiple changes using the same form. Just ensure that you complete all relevant sections accurately.

Q4: What happens if I don’t report a change in my information? Failing to report changes in a timely manner could lead to issues with your coverage or claims. It’s important to keep your information up-to-date to avoid any disruptions.

Q5: How do I know if my changes have been processed? You should receive confirmation from your Plan Administrator once the changes have been processed. If you don’t receive confirmation, follow up with them to ensure your updates were made.