Forms

Welcome to Guardian Life’s Preferred Provider Network option (PPO). LifeCare Provisor means Choice and Flexibility.

Forms:

Health Insurance Claim Form. Click here

Online Provider Directory. Click Here for Preferred Providers.

GEM Provider Directory. Click Here for Preferred Providers.

Provider Site Map. Click here

Pre-certification Forms. Medical & Laboratory | Vision | Dental

Provider Network Situation Form. Click here

Future Payment Forms:

Bank Order Form – Life Insurance

Bank Order Form – Single Premium

Bankers Order Form (SCOTIA)

Direct Debit Authorization Form

Salary Deduction Form

Stop Payment Form

USD Bank Order Form