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 (emergency medical care)
Claim Form – Trip Cancellation
Prior Authorization Drug Form
List of drugs requiring prior authorization
Categories
Wellness Account - Claim Form
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
Direct Deposit Request – Disability Benefits
Claim Form – Disability – Extension of Benefits
Claim Form – Travel Insurance (emergency medical care)
Claim Form – Trip Cancellation
Prior Authorization Drug Form
List of drugs requiring prior authorization
Prior Authorization Drugs
Request for Brand Name Drug Exception
Request for Biologic Reference Drug Exception
Claim Form – Life Insurance
Claim Form – Critical Illness Insurance
Claim Form – Accidental Dismemberment
Claim Form – Dental Care following an accident
Claim Form – Disability – Collection of personal information
Claim Form – Disability – Policyholder’s statement
My client space access request
Enrolment Request
Enrolment Request – with online beneficiary designation
Change Request
Change Request – with online beneficiary designation
Request for Conversion
Evidence of Insurability
Appointment or change of Beneficiary
Transit – Individual Health Insurance Application
Transit – Brochure
Transit – Rates Table
Nursing care questionnaire
Modification of status smoker to non-smoker
Make your life easier with our digital services
My Client Space – Plan Member My Client Space Online Registration Guide
Coordination of Benefits
Your Health Spending Account
Transit Brochure
Guide to Foot Orthotics
Guide to Orthopedic Shoes
Quick Tips
Certificate of insurance – Loan Insurance – Laurentian Bank
Summary of insurance – Line of Credit Insurance – Laurentian Bank
Summary of insurance – Mortgage Loan Insurance – Laurentian Bank
Summary of insurance – Personal Loan Insurance – Laurentian Bank
Certification of insurance product Loan Insurance for Investment Funds
Summary of insurance product Loan Insurance for Investment Funds
Certificate of insurance – Travel insurance – Laurentian Bank Visa
Summary of insurance – Travel insurance – Laurentian Bank Visa
Certificate of insurance – Purchase insurance and extended warranty – Laurentian Bank Visa
Summary of insurance – Purchase insurance and extended warranty – Laurentian Bank Visa
Certificate of insurance – Assur-payment – Laurentian Bank Visa
Summary of insurance – Assur-payment – Laurentian Bank Visa
Distribution guide – Creditor insurance
Travel assistance benefit
My Client Space
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