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Group insurance - Forms
Procedure for dynamic forms (PDF)
To fill out a form on the computer
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To fill out a form on a mobile device |
How to submit your documents
(see here the complete procedure to obtain your access)
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Forms and claims
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Trip Cancellation/Trip Interruption Insurance Claim | Covid-19 (Dynamic PDF)
(PDF [218.11 KB]) -
Direct Deposit (Complete the online form available via your secured online services access)
(PDF [366.43 KB]) -
Change Request | Employee (Dynamic PDF)
(PDF [317.28 KB]) -
Disability Benefits Claim (Dynamic PDF)
(PDF [286.17 KB]) -
Physician’s Disability Form / Initial Demand (Dynamic PDF)
(PDF [504.14 KB]) -
Physician’s Disability Form / Additional report (Dynamic PDF)
(PDF [425.83 KB]) -
Medical and Paramedical Fees Claim (Complete the online form available via your secured online services access)
(PDF [206.53 KB]) -
Dental Benefits Claims and Dental Treatment Plans (Complete the online form available via your secured online services access)
(PDF [312.75 KB]) -
Beneficiary Change
(PDF [198.81 KB]) -
Death Benefits Claim
(PDF [259.38 KB])
Tools and Resources
Forms
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Insurability Declaration
(PDF [124.90 KB]) -
Declaration of insurability for dependents
(PDF [253.96 KB]) -
Group Insurance Subscription
(PDF [131.21 KB]) -
Exemption Requests (Dynamic PDF)
(PDF [271.24 KB]) -
Change Requests
(PDF [238.32 KB]) -
Online Services Subscription (for Administrators) (Dynamic PDF)
(PDF [274.28 KB]) -
Claims Administration
(PDF [591.17 KB]) -
Request for Automatic Direct Debits of Premiums (Dynamic PDF)
(PDF [201.32 KB]) -
Notice of return to work (Dynamic PDF)
(PDF [346.76 KB]) -
Disability Benefits Claim (Dynamic PDF)
(PDF [213.62 KB]) -
Death Benefits Claim (Dynamic PDF)
(PDF [302.72 KB])