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Insurance

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Contact Us

Questions about completing an insurance form? Email us: insurance@doctorsofbc.ca

Insurance Forms

A consolidated list of insurance forms for member use. 

*Note - Some of these forms are fillable PDF forms and are compatible with Google Chrome or Internet Explorer browsers only.

Life, Disability, Accident & Illness

  • Application Form
  • AD&D Beneficiary Designation 
  • AD&D Insurance Application

Health & Dental

  • Application Form (a) -Member Agreement
  • Application Form (b) - HBTF Enrollment Form 
  • Request for Change 
  • Termination of Coverage 
  • Dental Claim Form (Great-West Life)
  • Health Claims Form (Great-West Life)
  • Cost Plus Claim Guide
  • Cost Plus Claim Form
  • Sole Proprietor HBTF Enrollment Package

Resident Forms

  • Resident Life Application without proof of good health
  • Resident Transition to Practice Options Form - within 90 days of completing residency/fellowship
  • Resident Disability Enrolment Form - No Medicals

Student Forms

  • Student Insurance Application
  • Student Disability - 4th Year $4,000 Option Form
  • Student Transitioning to Resident Form
  • 1st Year Student Membership and Insurance Application

 
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