Forms (Advisor)

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Forms

Claim Forms:

  • Extended Health Care
  • Dental Care

    Administration Forms:

  • Application for Change
  • Pre-Authorized Debit for Premium Payments - Available for AlphaPlus and Signature groups only
  • Request for Over-Age Dependant Coverage
  • Request for Conversion Information
  • Group Benefits Materials Re-order form
  • Plan Administrator Quick Reference Guide
  • Plan Member Quick Reference Guide

    Enrolment Forms:

  • Enrolment/Re-enrolment Application
  • Evidence of Insurability
  • Refusal of Coverage



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