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 • 133 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 • 288 KB
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Accidental Dental Pre-Authorization/Claim

pdf • 230 KB

Health Insurance

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Personal Health Plan Brochure

pdf • 467 KB
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Personal Health Plan Application

pdf • 207 KB
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Blue Choice® Policy

pdf • 703 KB
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Conversion Policy

pdf • 817 KB
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Guaranteed Acceptance Policy

pdf • 733 KB
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Term Life & Critical Illness Optional Benefit Policy

pdf • 111 KB
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Pre-Authorized Payment Agreement

pdf • 146 KB
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Direct Deposit Agreement

pdf • 174 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 • 900 KB
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Visitors to Canada Travel Insurance Policy

pdf • 1 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 • 249 KB
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Blue Essentials Brochure

pdf • 378 KB
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Custom Group Benefits Brochure

pdf • 267 KB
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Second Opinion® Brochure

pdf • 346 KB
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Pre-Authorized Debit Agreement

pdf • 156 KB
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Electronic Funds Transfer Authorization

pdf • 198 KB
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Prescription Drug Special Authorization Form

pdf • 205 KB
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Chronic Weight Management Special Authorization Form

pdf • 294 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 • 143 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 • 143 KB
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Employee’s Statement: Application for Benefits

pdf • 195 KB
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Employee: Education & Work History

pdf • 104 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 • 545 KB
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Physician’s Statement: Critical Illness

pdf • 183 KB

Provider Forms

Provider Direct Deposit Authorization

Quick Reference for Extended Health and Vision Providers

Frequently Asked Questions for Extended Health and Vision Providers

Quick Reference Guide for Dental Providers

Quick Reference Guide for Pharmacy Providers