Forms and Guides
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Claim Form – Medical Expenses
Claim Form – Dental Care
Direct Deposit and Notification Request – Medical and Dental Care Expenses
Claim Form – Health Spending Account (HSA)
Claim Form – Disability – Initial Request
Claim Form – Travel Insurance (emergency medical care)
Claim Form – Trip Cancellation
Prior Authorization Drug Form
List of drugs requiring prior authorization
Categories
Wellness Account - Claim Form
Claim Form – Medical Expenses
Claim Form – Dental Care
Claim Form – Health Spending Account (HSA)
Direct Deposit and Notification Request – Medical and Dental Care Expenses
Claim Form – Disability – Initial Request
Direct Deposit Request – Disability Benefits
Claim Form – Disability – Extension of Benefits
Claim Form – Travel Insurance (emergency medical care)
Claim Form – Trip Cancellation
Prior Authorization Drug Form
List of drugs requiring prior authorization
Prior Authorization Drugs
Request for Brand Name Drug Exception
Request for reference biologic drug exception
Request for Prior Authorization – FreeStyle Libre Sensor
Claim Form – Life Insurance
Claim Form – Critical Illness Insurance
Claim Form – Accidental Dismemberment
Claim Form – Dental Care following an accident
Claim Form – Disability – Collection of personal information
Claim Form – Disability – Policyholder’s statement
My client space access request
Enrolment Request
Enrolment Request – with online beneficiary designation
Change Request
Change Request – with online beneficiary designation
Conversion request – Group life insurance
Evidence of Insurability
Appointment or change of Beneficiary
Transit – Individual Health Insurance Application
Transit – Brochure
Transit – Rates Table
Nursing care questionnaire
Modification of status smoker to non-smoker
Make your life easier with our digital services
My Client Space – Plan Member My Client Space Online Registration Guide
Coordination of Benefits
Your Health Spending Account
Transit Brochure
Guide to Foot Orthotics
Guide to Orthopedic Shoes
Quick Tips
Certificate of insurance – Loan Insurance – Laurentian Bank
Summary of insurance – Line of Credit Insurance – Laurentian Bank
Summary of insurance – Mortgage Loan Insurance – Laurentian Bank
Summary of insurance – Personal Loan Insurance – Laurentian Bank
Certification of insurance product Loan Insurance for Investment Funds
Summary of insurance product Loan Insurance for Investment Funds
Certificate of insurance – Travel insurance – Laurentian Bank Visa
Summary of insurance – Travel insurance – Laurentian Bank Visa
Certificate of insurance – Purchase insurance and extended warranty – Laurentian Bank Visa
Summary of insurance – Purchase insurance and extended warranty – Laurentian Bank Visa
Certificate of insurance – Assur-payment – Laurentian Bank Visa
Summary of insurance – Assur-payment – Laurentian Bank Visa
Distribution guide – Creditor insurance
Travel assistance benefit
My Client Space
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