Welcome to all members.
Employees
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Application - Modification to group insurance (FIQ and FIQP)
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Evidence of Insurability
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Authorization for the disclosure of medical information
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Designation of beneficiary
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Application for direct deposit of benefits
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Claim for prescription drug and for medical and paramedical expenses
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Dental insurance claim form
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Request for Brand Name Drug Coverage
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Application for Assessment Prior Authorization Drug
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List of drugs requiring prior authorization
Application for long term Disability Insurance Benefits:
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Insured's Declaration (FIQ and FIQP)
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Attending Physician's Declaration (FIQ and FIQP)
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Employer's Declaration (FIQ and FIQP)
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Application for extension long term Disability Insurance (FIQ and FIQP)
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Contract - Administrative version, April 1st, 2022 (FIQ and FIQP)
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Schedule of coverage as of April 1st, 2022 (FIQ and FIQP)
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Rates - April 1st, 2022 (FIQ and FIQP)
Retirees
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Life Insurance Application for RIIRS members (FIQ and FIQP)
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Health Insurance Application for RIIRS members (FIQ and FIQP)
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Claim for prescription drug and for medical and paramedical expenses
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Become a RIIRS member at retirement (FIQ and FIQP)
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Membership Registration form to RIIRS (FIQ and FIQP)
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Information leaflet – Life and Health Insurance for RIIRS members
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Application - Perspective Healthcare Insurance
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Information Leaflet – Perspective Healthcare Insurance
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Rates - January 1, 2022 – Perspective Healthcare Insurance
Direct Deposit
To receive accelerated reimbursement of health and dental care claims, you can fill out the Application for Direct Deposit of Benefits (PDF - 1 page).
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