Here is a list of all of the forms you may need to help with the administration of your Group Benefit Program:

Enrollment Forms

• Employer's Application
• Employee Enrolment Form
• 452 - Statement of Health for Group Insurance
• 452-2 - Statement of Health for DEPENDENTS Group Insurance
• Spousal Optional Life Insurance Enrolment Form

Administration Forms

• Schedule "B" - Authorization for Business Pre-Authorized Debit Plan
• Terminations and Changes Form
• Application for Coverage of Child over age 21

Claim Forms

• Supplementary Medical Benefits Claim Form
• Pay Direct Drug Claim Form
• Standard Dental Claim Form

You must have to view & print the pdf forms.

Be sure to visit this page often, as we will be posting new forms as they become available.