Choose from the following forms that enable employees to enroll for insurance as well as help employees and employers manage insurance policies.
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Administrative Services Only (ASO) - Self-Insured STD Benefit |
Employers need to fill out this form to apply for group ASO benefits.
Form Number: 13035-1 |
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Beneficiary Designation Card
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Employees purchasing life insurance are required to provide RBC Insurance with a beneficiary designation card to keep on file with the insurance plan. This is only necessary if you have not completed an Enrollment Card.
Form Number: 13049 |
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Client Information Questionnaire |
Employers need to fill out this form to apply for group insurance for their company. It will document administrative requests surrounding your plan.
Form Number: 83604 |
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Confirmation of Appointment of Third Party Administrator (TPA)
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As a policyholder, if you are appointing a TPA you must fill out this form with the TPA's name, policy number, and other relevant information.
Form Number: 13033B |
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Election of Portability Coverage - Voluntary Group Term Life Insurance
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If an employee has recently been terminated, they may be eligible to apply for conversion and become insured under the Group Voluntary Life Portability Policy. Learn about this benefit and how to apply.
Form Number: 13094 |
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Employee Data Listing
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A grid that plan administrators can use to submit employee information at time of issue or renewal
Form Number: 13082 |
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Evidence of Insurability Form
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Both the employee and the plan administrator must fill out this approval form for reasons specified within the insurance contract(s).
Form Number: 13074 |
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Group Enrollment Card
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To enrol in group insurance, the employee and employer must fill out this card and return it to RBC Insurance.
Form Number: 13006 |
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Group LTD Conversion Facts
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If your plan has a conversion option and an employee who has been covered for long term disability benefits under a group long term disability plan for at least 12 months, has recently terminated employment, that employee may be eligible to apply for conversion and become insured under the Group LTD Conversion Policy. Learn about its benefits and how to apply.
Form Number: 13079-1 |
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Group Request for Change
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Both the employer and the employee must complete this form if the employee's name has changed, they wish to change their beneficiary information, or the number of dependents has changed. If adding a dependent through marriage or birth, we must receive this form within 31 days of the event.
Form Number: 13017 |
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Life Conversion Application
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If an employee has recently been terminated or their life coverage was reduced, they may be eligible to apply for conversion and become insured under the Group Life Conversion Policy. Learn about its benefits and how to apply.
Form Number: 13086 |
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Refusal of Coverage Form
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Both the employer and employee must complete this form if the employee does not wish to enrol in short and/or long term disability coverage offered under their employer's non-mandatory plan.
Form Number: 13026 |
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Social Insurance Number Authorization Card
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If the employer chooses to use social insurance numbers for identification purposes, employees must provide us with authorization to use their social insurance number and keep it on file as part of the insurance plan.
Form Number: 13066 |
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Trustee Designation Card
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Employees must fill out and sign this card in order to appoint a trustee for a minor beneficiary.
Form Number: 13090B |
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Voluntary Accident Insurance Enrollment Form
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To enrol in group voluntary AD&D insurance, the employee and employer must complete this card and return it to RBC Insurance.
Form Number: 20103 |
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