To claim this benefit, a completed Declaration Form and a letter from your employer confirming your lost wages must be mailed to the administrator's office.

You may print out a Declaration Form here, or you can also contact the BPA Claims Department to obtain a copy of the form.


Mailing Address
Attn: Claims Department
BENEFIT PLAN ADMINISTRATORS LIMITED
P.O. Box 3071, Station A
Mississauga, Ontario L5A 3A4

Contact Information
905-275-6466 / 1-800-867-5615 (Toll Free)
Administration: otcadmin@bpagroup.com / Claims: claims@bpagroup.com
Forms & Brochures
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