Get a form

In this section you will find forms to make changes to your bank account and your address, to designate new beneficiaries, and to declare a change in your lifestyle, activities, or medical conditions.

Insured (member of a group)

Direct deposit

• Direct Deposit - Group Insurance

Change of beneficiaries or marital status

• Change of beneficiary
• Statement of marital status

Transformation in individual insurance

• Conversion Application Group Insurance

Policy administrator

Changes to the group or to its members

• Notification of change
• PDF Booklet Request

Banking information

• Pre-Authorized Debit Agreement

Administrator change

• Change of the plan administrator

New enrolment

• Group Insurance Application
• Declaration of insurability

Medical or lifestyle habits questionnaires

Lifestyle habits

• Alcohol Use
• Tobacco Use
• Drug Use

Activities

• Aviation
• Automobile driving
• Foreign travel
• Racing
• Scuba diving
• Skydiving and hang gliding

Medical conditions

• Back pain
• Chest pain
• Concussion, skull fracture, head injury
• Diabetes
• Gastrointestinal disorders
• Loss of consciousness
• Musculoskeletal disorders
• Nervous disorder
• Respiratory disorder