Nos coordonnées : 514-891-3714, info@DCI-Assurance.com

Forms

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Group Insurance

> Group insurance details (PDF) :   View  |  Download

Application Forms - Standard Plan

> Group insurance details - Standard Plan A - without dental care (PDF) :   View  |  Download
> Group insurance details - Standard Plan C - with dental care (PDF) :   View  |  Download

Application Forms - Enhance Plan

> Group insurance details - Enhance Plan B - without dental care (PDF) :   View  |  Download
> Group insurance details - Enhance Plan D - with dental care (PDF) :   View  |  Download
> Group insurance details - Enhance Plan E - with dental care (PDF) :   View  |  Download
> Group insurance details - Enhance Plan F - with dental care (PDF) :   View  |  Download

Request for participation

> Application forms (PDF) :   View  |  Download

Additional mandatory forms

> AD&D Group insurance application (PDF): :   View  |  Download
> Bank authorization - pre-authorized debit (PDF) :   View  |  Download
> BCI - Email consent form (PDF) :   View  |  Download
> Administrator access form (PDF) :   View  |  Download
> Authorization of the employee (PDF) :   View  |  Download
> Cost Plus request form (PDF) :   View  |  Download