{"id":21,"date":"2013-07-16T14:00:44","date_gmt":"2013-07-16T14:00:44","guid":{"rendered":"http:\/\/jpress.journalism.ryerson.ca\/workshop2\/?p=14"},"modified":"2013-12-18T16:24:15","modified_gmt":"2013-12-18T21:24:15","slug":"forms","status":"publish","type":"post","link":"https:\/\/corporatebenefits.ca\/royallepage\/?p=21","title":{"rendered":"Forms"},"content":{"rendered":"

<\/p>\n

Downloadable Forms<\/span><\/h2>\n

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.<\/span><\/p>\n\n\n\n\n\n
Manulife Forms<\/a><\/span><\/b><\/span><\/td>\n\u00a0<\/span><\/td>\n<\/tr>\n
RBC Insurance Forms<\/a><\/b><\/span><\/span><\/td>\n\u00a0<\/span><\/td>\n<\/tr>\n
FutureBright Insurance Forms<\/a><\/b><\/span><\/span><\/td>\n\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
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<\/a>Manulife Forms<\/span><\/td>\nDescription<\/span><\/td>\n<\/tr>\n
Application for Change<\/span><\/b><\/span><\/a><\/td>\nSubmit 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.
\n<\/span><\/td>\n<\/tr>\n
Extended Healthcare Claim Form<\/span><\/b><\/span><\/a><\/td>\nSubmit 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.<\/a><\/span>
\n<\/span><\/td>\n<\/tr>\n
Dental Care Claim Form<\/span><\/b><\/span><\/a><\/td>\nMost 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.<\/span>
\n<\/span><\/td>\n<\/tr>\n
Group Benefits Materials Re-Order Form<\/span><\/b><\/span><\/a><\/td>\nComplete and mail or fax this form to Manulife Financial when re-ordering a supply of claim and\/or administration forms.\u00a0<\/span>
\n<\/span><\/td>\n<\/tr>\n
Request for Over-Age Dependent Coverage<\/span><\/b><\/span><\/a><\/td>\nContinued 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.<\/span>Continued coverage for children with disabilities, beyond the age specified in your group benefits plan, can also be requested using this form.<\/span>
\n<\/span><\/td>\n<\/tr>\n
Manulife – Evidence of Insurability<\/span><\/b><\/span><\/td>\nAs a plan member, you should complete this form when:<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\n\n\n
<\/td>\n\n
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  • You are late applying for your coverage, and therefore are considered a Late Applicant<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
<\/td>\nYou re-apply for insurance on any person whose application for insurance had previously been declined.<\/span>
\n<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/a><\/span><\/span>\u00a0\u00a0<\/span>\u00a0<\/span><\/a>RBC Insurance Forms<\/span>Description<\/span>Life & Accidental Death Claim Form<\/a><\/span><\/b><\/span>Use this form to report the initial notice of claim for Group Life Insurance or Accidental Death<\/span>
\n<\/span>Long-term Disability Claim Form<\/span><\/a><\/span><\/b>
\n<\/span>Long Term Disability Claim Form
\n<\/span>
\nRBC Insurance<\/a>\u00a0–\u00a0Evidence of Insurability<\/a><\/b><\/span><\/span><\/b>
\n<\/span>RBC Insurance’s Evidence of Insurability Form
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Voluntary Life Benefit Application<\/a><\/b><\/span><\/span>Submit this form to apply for Voluntary Life Benefits from RBC Insurance.
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Request for Conversion Information<\/a><\/span><\/b><\/span>Plan members are able to continue all or part of their Group Life Insurance coverage when it reduces or terminates, by converting to an Individual Policy. Submit this request form to obtain full details of the conversion privilege as well as a premium quotation.<\/span><\/span><\/p>\n

Beneficiary Designation Card<\/a>\u00a0–\u00a0<\/span><\/b><\/span>Use this form to designate the beneficiary of your group life insurance.
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\n<\/span><\/a><\/span><\/b><\/span><\/p>\n

\"\"<\/form>\n

\u00a0<\/span>Go to Top<\/a><\/span><\/span><\/p>\n

<\/p>\n

Formulaires<\/h2>\n

Royal LePage et Corporate Benefit Consultants Ltd. ont organis\u00e9 une biblioth\u00e8que de formulaires afin de vous aider \u00e0 pr\u00e9senter votre demande d\u2019inscription et \u00e0 administrer et \u00e0 soumettre vos demandes d\u2019indemnisation d\u2019assurance collective.<\/span><\/p>\n\n\n\n
Manulife<\/a><\/span><\/b><\/span><\/td>\nRBC Assurances<\/a><\/span><\/b><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
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<\/a>Manulife<\/span><\/td>\nDescription<\/span><\/td>\n<\/tr>\n
Demande de modification<\/a><\/span><\/b><\/span><\/td>\nLe formulaire Demande de modification doit \u00eatre imprim\u00e9, puis pr\u00e9sent\u00e9 d\u00fbment rempli par le participant dans les 31 jours suivant le changement dans les cas suivants:<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\n\n\n\n
<\/td>\n\n
    \n
  • changement de nom;<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
<\/td>\n\n
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  • changement de b\u00e9n\u00e9ficiaire;\u00a0ajout de garanties ou renonciation aux garanties;<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
<\/td>\n\n