Looking for an SSQ Insurance form? Sorry, they’re not here yet! Simply switch over to the SSQ website to find them.
But you’ve come to the right place for all our other group insurance forms.
-
Application for direct deposit of benefits
-
Authorization for the disclosure of medical information
-
Claim for prescription drug and for medical and paramedical expenses
-
Request for Brand Name Drug Coverage
-
Application for Assessment Prior Authorization Drug
-
Request for Exception to Biosimilar Transition
-
Type-2 Diabetes - Prior Authorization
-
Dental insurance claim form
-
Group insurance application / Modifications to group insurance
-
Group insurance application / Modifications to group insurance / Advantage 2-9
-
Termination of exemption
-
Age 65 - Reimbursement of prescription drugs by Insurer
-
Notice - Temporary work interruption / Return to work
-
Designation of beneficiary
-
Information concerning dependents
-
Dependent child status for a person with a total disability or functional impairment
-
Authorization - Revocation for the disclosure of personal information
-
Preauthorized debit agreement (PAD)
-
Evidence of Insurability
-
Status statement smoker or non-smoker
-
Declaration of insurability / Dental care insurance plan / Group insurance
-
Application - Perspective Healthcare Insurance
-
Application for short and/or long term Disability Insurance Benefits / Initial Application
-
Application for extension short and/or long term / Disability Insurance
-
Application for direct deposit of benefits
Beneva
La Capitale and SSQ Insurance
become Beneva
That means a whole lot more good people have you covered!