Welcome, members of the association and administrators of this group insurance plan.
contract 005492
-
Preauthorized debit agreement (PAD)
-
Application for direct deposit of benefits
-
Authorization for the disclosure of medical information
-
Evidence of Insurability
-
Application for short and/or long term Disability Insurance Benefits / Initial Application
-
Claim for prescription drug and for medical and paramedical expenses
-
Demande de remboursement - Primes payées en trop par l’employé (LANEQ)
-
Renonciation à l'assurance salaire de longue durée (LANEQ)
Employees
-
Adhésion et modification – Adhérents actifs (LANEQ)
-
Sommaire des protections au 1er mai 2022 – Adhérents actifs (LANEQ)
-
Sommaire des protections au 1er mai 2021 - Adhérents actifs (LANEQ)
-
Brochure explicative - Adhérents actifs (LANEQ)
Retirees
-
Adhésion et modification – Adhérents retraités (LANEQ)
-
Sommaire des protections au 1er mai 2022 – Adhérents retraités (LANEQ)
-
Sommaire des protections au 1er mai 2021 - Adhérents retraités (LANEQ)
-
Brochure explicative - Adhérents retraités (LANEQ)
-
Renouvellement 2022 - Adhérents retraités (LANEQ)
-
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
become Beneva
That means a whole lot more good people have you covered!