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Group Insurance Forms

Looking for a group insurance form? They're all here. Quickly find the form you need to submit your request.

Are you part of a public sector group?

Consult the forms and information regarding your group.

 

Find my group

Are you a group plan administrator?

The Group Administrator's Centre is your go-to for quick access to all the forms relevant to your group.

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  • Group insurance application / Modifications to group insurance

    Pdf - 2 pages
    Read

  • Group insurance application / Modifications to group insurance / Advantage 2-9

    Pdf - 2 pages
    Read

  • Termination of exemption

    Pdf - 1 page
    Read

  • Age 65 - Reimbursement of prescription drugs by Insurer

    Pdf - 1 page
    Read

  • Notice - Temporary work interruption / Return to work

    Pdf - 1 page
    Read

  • Designation of beneficiary

    Pdf - 1 page
    Read

  • Information concerning dependents

    Pdf - 1 page
    Read

  • Dependent child status for a person with a total disability or functional impairment

    Pdf - 2 pages
    Read

  • Authorization - Revocation for the disclosure of personal information

    Pdf - 1 page
    Read

  • Preauthorized debit agreement (PAD)

    Pdf - 1 page
    Read

  • Evidence of Insurability

    Pdf - 2 pages
    Read

  • Status statement smoker or non-smoker

    Pdf - 1 page
    Read

  • Declaration of insurability / Dental care insurance plan / Group insurance

    Pdf - 2 pages
    Read

  • Application - Perspective Healthcare Insurance

    Pdf - 2 pages
    Read

  • Application for short and/or long term Disability Insurance Benefits / Initial Application

    Pdf - 4 pages
    Read Download

  • Application for extension short and/or long term / Disability Insurance

    Pdf - 4 pages
    Read Download

  • Application for direct deposit of benefits

    Pdf - 1 page
    Read Download

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