Group insurance
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Group insurance - Forms
Forms and claims
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Direct Deposit (Complete the online form available via your secured online services access)
(PDF [284.86 KB]) -
Change form
(PDF [137.78 KB]) -
Disability Benefits Claim
(PDF [241.77 KB]) -
Supplementary information
(PDF [116.26 KB]) -
Physician’s Disability Form / Initial Demand
(PDF [366.85 KB]) -
Physician’s Disability Form / Additional report
(PDF [329.58 KB]) -
Medical and Paramedical Fees Claim (Complete the online form available via your secured online services access)
(PDF [203.81 KB]) -
Dental Benefits Claims and Dental Treatment Plans (Complete the online form available via your secured online services access)
(PDF [203.81 KB]) -
Beneficiary Change
(PDF [198.81 KB]) -
Death Benefits Claim
(PDF [259.38 KB])
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
(PDF [447.87 KB]) -
Change Requests
(PDF [238.32 KB]) -
Online Services Subscription (for Administrators)
(PDF [244.67 KB]) -
Claims Administration
(PDF [591.17 KB]) -
Request for Automatic Direct Debits of Premiums
(PDF [103.15 KB])