It is necessary for all applicants enroling in the Fellowship Group Insurance Plan to complete the following forms and return them to the office for processing. Downloads of the various forms can be found at the end of each form description.
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Pre-Authorized Chequing form
To download a copy of the Pre-Authorized Chequing form, click the link below.Download(14KB) -
Evidence of Insurability Coverage Detail form
To download a copy of the Evidence of Insurability Coverage Detail form, click the link below.Download(278KB) -
Supplementary Unemployment Benefit Plan form
To download a copy of the Supplementary Unemployment Benefit Plan Response form, click the link below.Download(49KB) -
Social Insurance Authorization form
To download a copy of the Social Insurance Authorization form, click the link below.Download(67KB) -
Long-Term Disability Salary Calculation
To download a copy of the Group Benefits Long-Term Disability Salary Calculation sheet, click the link below.Download(78KB) -
Group Benefits Insurance Plan Info. Fact Sheet
To download a copy of the Group Benefits Insurance Plan Information Fact Sheet, click the link below.Download(69KB) -
Voluntary Accident Insurance Application form
To download a copy of the Voluntary Accident Insurance Application form, click the link below.Download(87KB) -
Application for Group Coverage form
To download a copy of the Application for Group Coverage form, click the link below.Download(105KB) -
Beneficiary Designation Form
To download a copy of the Beneficiary Designation form, click the link below.Download(63KB)