Forms & Documents

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

Standard Claims

Standard Health Claim

pdf • 160 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

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Health Insurance

Personal Health Plan Brochure

pdf • 473 KB

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Personal Health Plan Application

pdf • 578 KB

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Blue Choice® Policy

pdf • 726 KB

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Conversion Policy

pdf • 558 KB

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Guaranteed Acceptance Policy

pdf • 596 KB

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Term Life & Critical Illness Optional Benefit Policy

pdf • 111 KB

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Student Accident Optional Benefit Policy

pdf • 554 KB

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Pre-Authorized Payment Agreement

pdf • 136 KB

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Direct Deposit Agreement

pdf • 87 KB

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Travel Insurance

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

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Group Benefits

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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Prescription Drug Special Authorization Form

pdf • 205 KB

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Chronic Weight Management Special Authorization Form

pdf • 294 KB

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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.

Employer’s Guide: Assisting an Employee

pdf • 146 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 • 147 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

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Critical Illness Claims

Application for Critical Condition Benefits

pdf • 545 KB

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Physician’s Statement: Critical Illness

pdf • 183 KB

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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.

Employer’s Guide: Assisting an Employee

pdf • 146 KB

DOWNLOAD

Employer’s Statement: Application for Benefits

pdf • 156 KB

DOWNLOAD

Employer: Job Description

pdf • 460 KB

DOWNLOAD

Employee’s Guide: Submitting a Claim

pdf • 147 KB

DOWNLOAD

Employee’s Statement: Application for Benefits

pdf • 190 KB

DOWNLOAD

Employee: Education & Work History

pdf • 133 KB

DOWNLOAD

Physician’s Statement: General

pdf • 503 KB

DOWNLOAD

Physician’s Statement: Psychiatric

pdf • 335 KB

DOWNLOAD

Critical Illness Claims

Application for Critical Condition Benefits

pdf • 545 KB

DOWNLOAD

Physician’s Statement: Critical Illness

pdf • 183 KB

DOWNLOAD

Provider Forms

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

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