SIU Medical Plan Contact Information

When sending claims, dues etc. to the Montréal office, it is important that the address be indicated as follows. If the envelope if not addressed as indicated below, Canada Post will not deliver and will return the envelope to sender.

PLEASE NOTE:

In the coming months new measures will be taking place at the Seafarers’ Medical Plan (SMP) for the submission of claims. The SMP will require that all Members submitting claims be done electronically and no longer by regular mail.

Claims can still be submitted to the SMP by regular mail, or by email, at medical@seafarers.ca until September 30, 2020.

As of October 1st 2020, all claims must be submitted by email at medical@seafarers.ca

Seafarers’ Medical Plan 
200 – 1333 rue St-Jacques
Montreal, Quebec, H3C 4K2

Tel: (514) 931-0550
Fax: (514) 931-3667
Toll-Free: 1 (855) 605-0550

Attention: Lyne Leblanc
Email: medical@seafarers.ca

Claiming Care Benefits Form

Form to be completed if claiming for hospital, medical, dental care or vision care benefits. To print or save this form in .PDF format, please click this link below.
Claiming Care Benefits Form

Reimbursement Form

Reimbursement of prescribed medication and injections. To print or save this form in .PDF format, please click this link below.
Reimbursement Form

Wage Loss Benefits Form

Form for claiming short term wage loss benefits or if you wish to have your disability period counted as a sailing period. To print or save this form in .PDF format, please click this link below.
Wage Loss Benefits Form

Dental Claim Form

Standard dental Claim Form: To print or save this form in .PDF format, please click this link below.
Dental Claim Form

Death Benefits Form

Standard Death Benefits form: To print or save this form in .PDF format, please click this link below.
Death Benefits Form