Fillable insurance application forms
- Blue Cross insurance application (Blue Vision, Tangible and Mortgage Plan)
- Express Plan, SMEs Plan and Association program application
- Summary of Coverages
IMPORTANT
The fields Name, First name, Date of birth and age must be completed before the document is printed.
Product guides
- Blue Vision Express Plan
- Blue Vision Global Plan
- Blue Vision SME Plan
- Tangible hybrid coverage
- Tangible critical illness
- Tangible long-term care
- Mortgage plan
Advisor’s Guide
Forms
Administration
Individual insurance
- Authorization.pdf
- Beneficiary Designation Form.pdf
- Cancellation Request Form.pdf
- Health Statement.pdf
- Insurance Application.pdf
- Pre-authorized Debit (PAD) Agreement.pdf
- Reinstatement Request Form.pdf
- Short Health Statement.pdf
Travel insurance
- Early Return - Premium Reimbursement Request.pdf
- List of insured persons - Group Trip.pdf
- Travel Insurance Modification Request.pdf
Contracting & Commissions
Underwriting
- Overhead Expenses
- Arthritis questionnaire
- Truck Driver questionnaire
- Driving questionnaire
- Diabetes questionnaire
- Epilepsy questionnaire
- Backache and/or Musculoskeletal Problems questionnaire
- Special questionnaire for migraines (headaches)
- Occupation questionnaire
- Nervous Disorder questionnaire
- Respiratory Problems questionnaire
- Drug Usage questionnaire
- Tobacco Usage questionnaire
- Foreign Travel questionnaire
Claims
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