Fédération interprofessionnelle de la santé du Québec (FIQ and FIQP)

• Application - Modification to group insurance (PDF - 2 pages)
• Termination of exemption (PDF - 1 page)
• Evidence of Insurability (PDF - 2 pages)
• Authorization for the disclosure of medical information (PDF - 1 page)
• Designation of beneficiary (PDF - 1 page)
• Application for Direct Deposit of Benefits (PDF - 1 page)
• Claim for prescription drug and for medical and paramedical expenses (PDF - 2 pages)
• Dental Insurance Claim Form (PDF - 2 pages)
• Request for Brand Name Drug Coverage (PDF - 2 pages)
• Request for Assessment Prior Authorization Drug (PDF - 2 pages)
• List of drugs requiring prior authorization (PDF - 2 pages)

Application for long term Disability Insurance Benefits:

• Insured's Declaration (PDF - 2 pages)
• Attending Physician's Declaration (PDF - 2 pages)
• Employer's Declaration (PDF - 2 pages)
• Application for extension long term Disability Insurance (PDF - 3 pages)

• Contract - Administrative version, April 1, 2021 (PDF - 74 pages)
• Schedule of coverage as of April 1, 2021 (PDF - 4 pages)
• Rates - April 1, 2021 (PDF - 2 pages)

• Life Insurance Application for RIIRS members (PDF - 2 pages)
• Health Insurance Application for RIIRS members (PDF - 2 pages)
• Claim for prescription drug and for medical and paramedical expenses (PDF - 2 pages)

• Become a RIIRS member at retirement (PDF - 2 pages)
• Membership Registration form to RIIRS (PDF - 1 page)

• Information booklet - Life and Health Insurance for RIIS members (PDF - 2 pages)

• Application Healthcare Insurance Perspective (PDF - 2 pages)​
• Information Booklet - Healthcare Insurance Perspective (PDF - 3 pages)
• Rates - January 1, 2022 (PDF - 2 pages)