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- If you need help filling out a no
medical insurance application please call 1-800-474-4474 -
To apply for one of the guaranteed issue health plans please do the following:
- Click on one of the links below to open up a PDF application.
- You can optionally save the guaranteed issue application form to your computer using the "File | Save
a Copy" menu item.
- Print off the application, fill it out and mail it to the following address:
Individual Health Applications,
5145 Steeles Ave. West,
Entrance A, Suite 202,
Toronto, Ontario,
M9L 1R5
- Once we receive your application we will contact you to let you know we received
it, and we will also make sure the application has been filled out
correctly (thereby avoiding undue delays in getting you covered).
| Plan |
Application Form
(click on GO) |
| Basic Blue Choice |
 |
| Flexcare |
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| FollowMe |
|
| Blue Vision |
|
| Select |
- please call us - |
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