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Group Insurance

Application & Enrolment Forms

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Application Form - Group Insurance

The Group Insurance Application is available in full version or for only those sections which are applicable to your specific application.


Name
Full Group Insurance Application English | French


If you are selecting only certain portions of the application, it is your responsibility to ensure that the client is aware of the RBC Insurance privacy statement and that all appropriate sections of the application have been completed. Failure to do so may result in a delay in the policy issue process.


The following sections are mandatory for group insurance applications:

Name
Front Cover and Privacy Statement English | French
Main Application Document  English | French
Applicant Statement  English | French
Agent of Record Statement  English | French
Ontario Sales Tax section (Ontario business only)  English | French

The following sections are not mandatory but should be selected according to the benefits and information required for your specific application.


Benefits

Name
Basic and Voluntary Life English | French
Accidental Death & Dismemberment  English | French
Long Term Disability  English | French
Long Term Disability (2 to 9 Lives)  English | French
Short Term Disability  English | French

Other Information

Name
Association Questionnaire English | French
Bonus Questionnaire  English | French
Contract Employee Questionnaire  English | French
Third Party Administrator Questionnaire  English | French

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Enrolment Forms – Group Insurance

Name
Absolute Assignment (Critical Illness)

 English 

Beneficiary Designation Card  English | French
Client Information Questionnaire  English | French
Confirmation of Appointment of Third Party Administrator  English | French
Employee Data Listing  English | French
Evidence of Insurability Form  English | French
Group Enrolment Card  English | French
Group Request for Change  English | French
Refusal of Coverage Form  English | French
Social Insurance Number Authorization Card  English | French
Third Party Administrator Questionnaire  English | French
Voluntary Group Term Life Insurance – Election of Portability Coverage  English | French
Voluntary Accident Insurance Enrolment Form  English | French


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