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Forms and contact details for Plan Administrators

The following forms are available online to make it easier to manage your group insurance plan.

Procedure:

  1. Certain forms require Word software, whereas for others you will need Acrobat software.
  2. Complete the selected form by clicking on each empty field.
  3. It may take a few seconds before the text appears onscreen, depending on your Internet connection.
  4. Save and print the form in order to sign it.
Administrative Forms
Attention! Be sure to always keep a printed and signed copy on hand for your files, and also remember to provide a signed copy to the employee concerned.
If you use the Administrators' Portal, it is not necessary to mail AGA Benefit Solutions an original signed copy.*

An original copy of the Evidence of Insurability or Declaration of Insurability form should be transmitted to AGA Benefit Solutions. Please select the appropriate form.

Claim Forms
Insurers' Contact Details - Disability Insurance
As of January 1st, 2021, following the revision of the disability insurance service offer, you are invited to contact your insurer for any question related to a request for disability benefits, life insurance or serious illness.
  • Canada Life
(T) 1 888 878-6059

Email: montreal.dmso@canadalife.com 

  • Beneva
(T) 1 800 463-4856

To send documents: prest.inv@beneva.ca 

For all other inquiries: invalidite.service-client@beneva.ca 

  • Blue-Cross
(T) 1 877 849-8509

Email: salaire@medavie.croixbleue.ca 

  • Desjardins Insurance
(T) 1 800 463-7843

Link: Online Form

  • Humania Assurance
(T) 1 800 818-7236

Email: prestations@humania.ca 

  • iA Financial Group (Industrial Alliance)
(T) 1 877 422-6487

Email: invaliditevie@inalco.com 

  • iA Financial Group AD&D
(T) 1 800 266-5667

Email: specialmarkets-claims@ia.ca  

  • Manulife
(T) 1 866 236-6313

Email: groupe_invalidite@manuvie.com 

  • SSQ Insurance
(T) 1888 651-2307

Email: salaire@ssq.ca

  • UV Insurance (Union-Vie)
(T) 1 800 567-0988

Email: collectif.invalidite@uvmutuelle.ca 

Request for Weekly Benefits
We suggest you keep the originals for your records. All requests must be sent by fax or by email to disability@aga.ca.

If your weekly income replacement benefits are placed with one of the following insurers, please click on the appropriate link to directly access their claim form:

Long Term Disability Forms
We suggest you keep the originals for your records. Requests must be sent by fax or by email to disability@aga.ca.

Click on the appropriate link, according to the insurer with which your long term disability coverage is subscribed:

To complete your application, attach a copy of all medical certificates on file since the work stoppage , a copy of the job description in your company and a copy of the last two pre-disability pay statements.

If your insurance is subscribed with Assumption Life or Blue Cross insurers , please provide a birth certificate and a copy of your last payment slip from Employment Insurance .

Critical Illness Forms
We suggest that you keep the originals for your records. Requests should be sent to us by fax or email at disability@aga.ca.

In the event of a diagnosis of critical illness, insurance against serious diseases provides a lump sum payment. To know the eligible health states and eligibility requirements, please consult the contract and / or brochure.

If your critical illness coverage is subscribed with one of the following insurers, please select the link of your insurer :