Forms and Guides

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Claim Form – Medical Expenses

Claim Form – Dental Care

Direct Deposit and Notification Request – Medical and Dental Care Expenses 

Claim Form – Health Spending Account (HSA)

Claim Form – Disability – Initial Request

Claim Form – Travel Insurance

Prior Authorization Drug Form

List of drugs requiring prior authorization

Categories

Claim Form – Medical Expenses

Claim Form – Dental Care

Claim Form – Health Spending Account (HSA)

Direct Deposit and Notification Request – Medical and Dental Care Expenses 

Claim Form – Disability – Initial Request

Claim Form – Disability – Authorization to collect personal information

Claim Form – Disability – Policyholder Statement

Direct Deposit Request – Disability Benefits

Claim Form – Disability – Extension of Benefits

Claim Form – Travel Insurance

Prior Authorization Drug Form

List of drugs requiring prior authorization

Request for Brand Name Drug Exception

Claim Form – Life Insurance

Claim Form – Critical Illness Insurance 

Claim Form – Accidental Dismemberment

Claim Form – Dental Care following an accident

Home Care Questionnaire

Nursing Care Questionnaire

Claim Form – Accigroup & Accigroup Plus

Claim Form – Accigroup & Accigroup Plus – BCI (CREPUQ)

Enrolment Request

Change Request

Request for Conversion

Evidence of Insurability

Appointment or change of Beneficiary

Transit – Individual Health Insurance Application

Transit – Brochure

Transit – Rates Table

Undergraduate Insurance Certificate – Standard – Accigroup & Accigroup Plus – BCI (CREPUQ)

Undergraduate Insurance Certificate – with coverage for elite sporting activities – Accigroup & Accigroup Plus – BCI (CREPUQ)

Graduate and Post Graduate Insurance Certificate – Standard – Accigroup & Accigroup Plus – BCI (CREPUQ)

Graduate and Post Graduate Insurance Certificate – with coverage for elite sporting activities – Accigroup & Accigroup Plus – BCI (CREPUQ)

E-services Brochure

My Client Space – Plan Member My Client Space Online Registration Guide

My Client Space – Plan Member Guide

E-Claims Guide

Coordination of Benefits Guide

Travel Insurance Brochures

Your Health Spending Account

Prior Authorization Drug Brochure

myhealthcheckup

Transit Brochure

Guide to Foot Orthotics

Guide to Orthopedic Shoes

Quick tips

Universities with group accident insurance for students – Accigroup & Accigroup Plus – BCI (CREPUQ)

My Client Space

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