Forms & Documents

All the forms and documents you need to submit a claim via mail, learn more about your policy, and more.

Standard Claims

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Standard Health Claim

pdf • 204 KB
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Standard Dental Claim

pdf • 78 KB
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Out-of-Province Claim (Travel Insurance)

pdf • 3 MB
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Student Accident Claim

pdf • 334 KB
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Accidental Dental Pre-Authorization/Claim

pdf • 259 KB

Health Insurance

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Personal Health Plan Brochure

pdf • 769 KB
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Personal Health Plan Application

pdf • 163 KB
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Blue Choice® Policy

pdf • 2 MB
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Conversion Policy

pdf • 1 MB
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Guaranteed Acceptance Policy

pdf • 1 MB
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Term Life & Critical Illness Optional Benefit Policy

pdf • 111 KB
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Pre-Authorized Payment Agreement

pdf • 137 KB
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Direct Deposit Agreement

pdf • 88 KB

Travel Insurance

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Travel Plans Brochure

pdf • 488 KB
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Annual, Individual, Package Plus and Canada Package Travel Policy

pdf • 2 MB
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Top-Up Travel Policy

pdf • 2 MB
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Visitors to Canada Travel Insurance Policy

pdf • 4 MB
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THIA Consumer Brochure

pdf • 222 KB
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Travel Insurance Guide for Expectant Mothers

pdf • 790 KB

Group Benefits

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Employee Change Form

pdf • 214 KB
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Blue Essentials Brochure

pdf • 899 KB
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Custom Group Benefits Brochure

pdf • 729 KB
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Second Opinion® Brochure

pdf • 346 KB
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Pre-Authorized Debit Agreement

pdf • 109 KB
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Electronic Funds Transfer Authorization

pdf • 127 KB
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Special Authorization Form

pdf • 249 KB

Disability Claims

Please note: six forms are required to submit a Disability benefits claim. Please refer to the Employer and Employee guides for more information.

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Employer’s Guide: Assisting an Employee

pdf • 157 KB
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Employer’s Statement: Application for Benefits

pdf • 156 KB
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Employer: Job Description

pdf • 460 KB
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Employee’s Guide: Submitting a Claim

pdf • 156 KB
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Employee’s Statement: Application for Benefits

pdf • 190 KB
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Employee: Education & Work History

pdf • 133 KB
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Physician’s Statement: General

pdf • 503 KB
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Physician’s Statement: Psychiatric

pdf • 335 KB

Critical Illness Claims

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Application for Critical Condition Benefits

pdf • 159 KB
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Physician’s Statement: Critical Illness

pdf • 183 KB

Provider Forms

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FAQs for Providers

pdf • 112 KB
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Quick Reference for Health Practitioners

pdf • 302 KB
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Quick Reference for Vision Care

pdf • 324 KB
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User Manual for Health Practitioners

pdf • 809 KB
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User Manual for Vision Care

pdf • 895 KB