Tell Us About Yourself

 
 
 
 
 
 

Tell Us About Your Spouse

 
 
Spouse must be under age 65 as of May 1st this year to qualify for coverage.
 

Life Insurance

Help protect your family’s lifestyle and their financial future if you’re not here to take care of them.

 
 
 
 
 
 
Total:
 

Accidental Death and Dismemberment Insurance

Prepare for the unexpected with coverage that provides a lump sum payment if you or a family member suffers a serious injury or accidental death.

You can apply for Accidental Death and Dismemberment Insurance only if you also apply for Life Insurance.

 
 
Total:
 

Extended Health Care Insurance

Save out-of-pocket costs not covered by your provincial health plan including prescription drugs, massage therapy, physiotherapy, chiropractor visits, vision care and more.

 
Total:
 

Dental Care Insurance

Keep your smile healthy, with two dental care insurance options to cover your needs and those of your family.

You can apply for Dental Care Insurance only if you also apply for Extended Health Care Insurance.

 
Total:
 

Critical Illness Insurance

Protect you and your family from the financial impact of a serious illness; 25 illnesses are covered including cancer, heart attack and stoke.

 
 
 
 
 
 
Total:
 

Long Term Disability Insurance

Create a safety net with this income-style benefit that helps pay bills that keep coming even if you have to stop working due to a serious illness or injury.

 
 
 
 
 
Total:
 

Office Overhead Expense Insurance

Ensure your business keeps running if you become temporarily disabled or seriously ill.

Members must be under age 60 as of May 1st this year to qualify for Office Overhead Expense coverage.
 
 
Total:
 

Total estimated monthly premium before applicable taxes: