The following forms are available online to make it easier to manage your group insurance plan.
- Certain forms require Word software, whereas for others you will need Acrobat software.
- Complete the selected form by clicking on each empty field.
- It may take a few seconds before the text appears onscreen, depending on your Internet connection.
- Save and print the form in order to sign it. Send us the original copy by mail, unless indicated otherwise below.
Situation A – 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:
Situation B – If your weekly income replacement benefits is self-insured, please complete the appropriate AGA claim form among the following:
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 .
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.
Important : All duly completed claim forms must be returned by email to email@example.com.
If your critical illness coverage is subscribed with one of the following insurers, please select the link of your insurer :