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Life Plus Insurance

Insurance Forms

Posted on August 31, 2017April 28, 2018 Lifeplus AdminPosted in Uncategorized

Insurance Forms

Address Change Forms
Beneficiary Change Forms
Banking Change Forms
Cancellation Forms
Policy Change Forms

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Address Change Forms

Click on a provider to download a PDF form:

  • BMO
  • Canada life
  • Desjardins
  • Empire Life
  • Equitable Life
  • Foresters Life
  • Industrial Alliance
  • Ivari(Transamerica)
  • ManuLife
  • RBC Life
  • Sun Life
  • Wawanesa
  • Western Life
Policy Change Forms

Click on a provider to download a PDF form:

  • BMO
  • Canada life
  • Desjardins
  • Empire Life
  • Equitable Life
  • Foresters Life
  • Industrial Alliance
  • Ivari(Transamerica)
  • ManuLife
  • RBC Life
  • Sun Life
  • Wawanesa
  • Western Life
Cancellation Forms

Click on a provider to download a PDF form:

  • BMO
  • Canada Life
  • Desjardins
  • Empire Life
  • Foresters Life
  • Equitable Life
  • Industrial Alliance
  • Ivari(Transamerica)
  • Manulife
  • RBC Life
  • Sun Life
  • Wawanesa Life
  • Western Life
Banking Change Forms

Click on a provider to download a PDF form:

  • BMO
  • Canada Life
  • Desjardins
  • Empire Life
  • Equitable Life
  • Foresters Life
  • Industrial Alliance
  • Ivari(Transamerica)
  • Manulife
  • RBC Life
  • Sun Life
  • Wawanesa Life
  • Western Life
Beneficiary Change Forms

Select your provider to download a PDF form:

  • BMO
  • Canada Life
  • Desjardins
  • Empire life
  • Equitable Life
  • Foresters Life
  • Industrial Alliance
  • Ivari(Transamerica)
  • Manulife
  • RBC
  • Sun Life
  • Wawanesa Life
  • Western Life
Dental Plans

Dental Plan #1

:-Deductible-: {Nil}
:-Basic Services-: {80%}
:-Maximum Benefit-: {$750 per calendar year}
:-Recall Exams-: {9 months}
:-Fee Guide-: {Current}

Dental Plan #2

:-Deductible-: {Nil}
:-Basic Services-: {90%}
:-Maximum Benefit-: {$1000 per calendar year}
:-Recall Exams-: {9 months}
:-Fee Guide-: {Current}

Dental Plan #3

:-Deductible-: {Nil}
:-Basic Services-: {100%}
:-Maximum Benefit-: {$1500 per calendar year}
:-Recall Exams-: {9 months}
:-Fee Guide-: {Current}
Health Plans

Health Plan #1

:-Deductible-: {Nil}
:-EHS Co-insurance-: {80%}
:-Prescript. Drug Plan-: {Direct Pay}
:-Prescript. Drugs Deductible-: {None}
:-Prescript. Drugs Co-Insurance-: {80%}
:-Prescript. Drug Maximum-: {$2,500}
:-Hospital Accommodation-: {Semi-private room}
:-Travel Benefits: Included-: {100%, 60 days}
:-Paramedical Services-: {$500 combined}
:-Private Duty Nursing Services-: {$10,000 per calendar year}
:-Hearing Aids (Batteries Included)-: {$500 every 5 years}

Health Plan #2

:-Deductible-: {Nil}
:-EHS Co-insurance-: {90%}
:-Prescript. Drug Plan-: {Direct Pay}
:-Prescript. Drugs Deductible-: {Dispensing Fee}
:-Prescript. Drugs Co-Insurance-: {90%}
:-Prescript. Drug Maximum-: {$5,000}
:-Hospital Accommodation-: {Semi-private room}
:-Travel Benefits: Included-: {100%, 60 days}
:-Paramedical Services-: {$750 combined}
:-Private Duty Nursing Services-: {$10,000 per calendar year}
:-Hearing Aids (Batteries Included)-: {$500 every 5 years}

Health Plan #3

:-Deductible-: {Nil}
:-EHS Co-insurance-: {100%}
:-Prescript. Drug Plan-: {Direct Pay}
:-Prescript. Drugs Deductible-: {None}
:-Prescript. Drugs Co-Insurance-: {100%}
:-Prescript. Drug Maximum-: {$10,000}
:-Hospital Accommodation-: {Semi-private room}
:-Travel Benefits: Included-: {100%, 60 days}
:-Paramedical Services-: {$1000 combined}
:-Private Duty Nursing Services-: {$10,000 per calendar year}
:-Hearing Aids (Batteries Included)-: {$500 every 5 years}