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

  • 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)

  • 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

On the go, on the mark, on the app!

To claim on the go, check your coverage between calls or access important information, simply download the Beneva app.

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