Personal Health Insurance Application Forms

- If you need assistance with an insurance application call us at 1-800-474-4474 -

To purchase individual health insurance:

  1. Decide which insurance company and health and dental plan is best for you.
  2. Fill out an application form. To do this click on one of the "GO" buttons below, print off the application and then fill it out (we can also mail you an application form).
  3. Mail or fax the completed health insurance application to either us or the insurance carrier (depends on the carrier), and:
  4. You may also have to include a cheque (payable to the insurance company) for the first premium installment, or a void cheque, etc. This will be outlined in the application form.
  5. If approved you will be mailed your insurance policy*. Usually coverage commences on the first day of the month following approval of your application.
Application Forms
Carrier Online Form
(click on GO)
Ontario Blue Cross
(Blue Choice)
Blue Choice Application
Manulife (FlexCare) FlexCare Application
Ontario Blue Cross
(Blue Choice Balance)
Blue Choice Balance Application
Sonata Health Sonata Application
Sun Life Financial Sun Life Application

   

* You will be notified if not approved or if your monthly premium has been adjusted and is not what your were quoted. If your monthly premium has been adjusted you have the option of refusing your policy (and if you have mailed a cheque you will receive a full refund from the insurance company).



Validate XHTML | Validate CSS