Welcome, members of the association and administrators of this group insurance plan.
contract 005492
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Preauthorized debit agreement (PAD)
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Application for direct deposit of benefits
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Authorization for the disclosure of medical information
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Evidence of Insurability
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Application for short and/or long term Disability Insurance Benefits / Initial Application
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Claim for prescription drug and for medical and paramedical expenses
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Demande de remboursement - Primes payées en trop par l’employé (LANEQ)
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Renonciation à l'assurance salaire de longue durée (LANEQ)
Employees
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Adhésion et modification – Adhérents actifs (LANEQ)
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Sommaire des protections au 1er mai 2022 – Adhérents actifs (LANEQ)
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Sommaire des protections au 1er mai 2021 - Adhérents actifs (LANEQ)
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Brochure explicative - Adhérents actifs (LANEQ)
Retirees
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Adhésion et modification – Adhérents retraités (LANEQ)
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Sommaire des protections au 1er mai 2022 – Adhérents retraités (LANEQ)
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Sommaire des protections au 1er mai 2021 - Adhérents retraités (LANEQ)
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Brochure explicative - Adhérents retraités (LANEQ)
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Renouvellement 2022 - Adhérents retraités (LANEQ)
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Renouvellement 2021 - Adhérents retraités (LANEQ)
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).
Beneva
is becoming Beneva
Welcome to our world! The one that protects yours. SSQ Insurance will join us later. We’ll keep you posted!