Downloadable Forms
Royal LePage and Corporate Benefit Consultants Ltd. have organized a forms library to assist you in applying for, administering and submitting claims for group insurance.

Manulife Forms
 

RBC Insurance Forms
 

FutureBright Insurance Forms
 

Manulife Forms
Description

Application for Change
Submit this form for plan member name changes, beneficiary changes, requests to add/terminate benefits, and/or requests to add/terminate dependent coverage within 31 days of the change in coverage.

Extended Healthcare Claim Form
Submit this form to claim the eligible extended health care benefits costs covered under your Manulife Financial Group Benefits plan. These may include drug and other medical expenses (e.g. medical supplies), equipment and appliances, vision care expenses, and practitioner expenses.

Dental Care Claim Form
Most dentists provide plan members with a standard Canadian Dental Association (CDA) claim form. If the dentist does not provide a CDA form, use this form to claim the eligible dental care benefits costs covered under your plan.

Group Benefits Materials Re-Order Form
Complete and mail or fax this form to Manulife Financial when re-ordering a supply of claim and/or administration forms. 

Request for Over-Age Dependent Coverage
Continued coverage for full-time students, beyond the age specified in your group benefits plan, can be requested by submitting this form to Manulife Financial Group Benefits. This form must be re-submitted by July 31st each year to confirm over-age student status coverage is continuing for the next school year. Coverage will then be extended up to August 31st of the next school year, the upper limit of the dependent definition age, or until coverage is terminated.Continued coverage for children with disabilities, beyond the age specified in your group benefits plan, can also be requested using this form.

Manulife – Evidence of Insurability
As a plan member, you should complete this form when:

You are late applying for your coverage, […]