A business operating on a human scale, AGA Benefit Solutions offers clients and insured persons all the services of large companies.

Above all, AGA is always looking to add innovation to existing services, the better to serve clients and insured persons alike.



Members portal

As a member, you benefit from a members portal designed to access your account and submit your claims on-line at whatever time is convenient to you.

That’s the AGA difference.

Access the portal


Plan Member’s Guide

You can now consult the Plan Member’s Guide online.

Plan Member’s Guide (pdf)




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


  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. Send us the original copy by mail, unless indicated otherwise below.

Administrative Forms

Attention! Be sure to always keep a printed and signed copy on handfor your files.

Claim Forms

Request for weekly benefits

We suggest you keep the originals for your records. All requests must be sent by fax or by email to

Situation AIf 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:

Long term disability forms

We suggest you keep the originals for your records. All requests must be sent by fax or by email to

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

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

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