Paper Claims

Before submitting the claim form, ensure that all questions have been answered and that you have signed your name and clearly identified yourself by full name, return mailing address, your employer, and your Union. Faulty or missing information will only result in a delay in processing your claim.

A properly completed Vision Care claim form including the original prescription is required for each insured family member. Original Paid receipt of purchase must be attached as well.

For a Vision Care claim form, please click here.

Each Vision Care claim must show the:

  1. Patient's full name
  2. Charge for lenses
  3. Charge for frames
  4. Charge for miscellaneous items
  5. Optometrist’s prescription

Mail Vision Claims to:

Benefit Plan Administrators Limited
P.O. Box 3071, Station A
Mississauga, Ontario L5A 3A4

Proof of Loss 
Written proof stating the occurrence, character and extent of loss must be submitted to the Administrative Agent within 12 months after the date of the loss, but not more than 3 months after the date coverage terminates, for Vision Care Benefits.


For questions or assistance, please contact BPA by phone at either 905-275-6466 or Toll Free at 1-800-867-5615, or by email:


Insulators Local 95 Benefit Trust Fund c/o Benefit Plan Administrators 
90 Burnhamthorpe Road West, Suite 300 Mississauga, Ontario L5B 3C3