REGISTER FOR PLAN MEMBER ONLINE SERVICES

Online services are for the exclusive use of Green Shield Canada plan members. Complete the information below and click Register.Remember to keep your information safe – never give out your personal User Name and Password.

To register for your own personal account, fill out the form below and click the Register button.

Print Instructions

* indicates a mandatory field
Create your personal User Name: *
Create your personal Password: *
Confirm your personal Password: *
Email Address: *
Confirm Email Address: *
 
* Daytime and/or evening phone number is required.
area codephone numberext.
Daytime Phone Number:  
() - ext.
Evening Phone Number:  
() - ext.
 
If you forget your password, you will be asked for the answer to your challenge question. Only the correct answer to your challenge question will reset your password.
Challenge Question: *
Challenge Answer: *
 
Green Shield ID Number: * -00
Type your name exactly as it appears on your ID Card.
First Name: *
Surname: *
Birth Date: * [yyyy mm dd]
 
Email Authorization

Green Shield Canada would like to email important health and benefit plan information to you from time to time.
*
 
If you change your mind, simply change your selection in My Profile.

* I am authorized to view all claims information for any member enrolled under my Green Shield ID Number (this includes myself, as well as any and all dependents (if applicable).

Register