Apply for a non-smoker rate on your portable benefits coverage
Have you added portable benefits coverage to your workplace plan? You’re in the right place.
Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
When you’ve completed your forms, you can submit them to us by email at email@example.comOpens in a new window or fax to (416) 552-3373.