Forms for coverage through an advisor

Use this form to claim prescription drug expenses.

Use this form to claim medical expenses.

Use this form to claim dentalcare expenses. 

Use this form to claim vision care expenses, including prescription glasses and contact lenses.

Use this form to request reimbursement for expenses you incurred when your trip was cancelled or interrupted due to illness.

Use these forms to make claims if you have this plan.

 Use these forms to submit a claim for medical expenses incurred while travelling. 

Start a critical illness claim for you or a child.

Start a disability claim.

Request a waiver of life insurance premiums if there’s a disability rider on your policy.

Make a claim for accidental death, dismemberment or specific loss. 

Make a life insurance or wealth claim if you are a beneficiary of a life insurance policy.

Use this form to submit your prescription drug claim for approval before you apply for reimbursement.  

Use this form to make a medical cannabis claim for approval before you apply for reimbursement.

Use this form to request coverage for a brand name drug before you apply for reimbursement. 

Use this form to set up direct debit and receive claim reimbursements straight into your bank account.

Use this form to designate 1 or more beneficiaries in the case of your accidental death.