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Health & Dental Insurance

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1-877-443-0101
Health & Dental Insurance
Get Your Quote

Ontario Blue Cross

Minimum coverage

Medium coverage

Enhanced coverage

Unlimited coverage

None

Prescription Drugs

Vision Care

Not Important

No

Yes

Minimum coverage

Medium coverage

Enhanced coverage

None

Dental Care

Extended Health

Enhanced coverage

Medium coverage

Minimum coverage

Travel Insurance

Not Important

No

Yes

No

Yes

Critical Illness Insurance

Hospital

Not Important

No

(private or semi-private)

Yes

Single

Phone:

Province:

Female

Smoker?

E-mail:

Male

Age:

Name:

Gender:

Do you need SINGLE, COUPLE, or FAMILY coverage?

Couple or Family

Yes

No

Number of dependent children:

(Children of 21-25 years of age must be full time students)

Child 5:

Child 4:

Child 3:

Child 2:

Male

Name:

Age of dependent children:

Child 1:

Gender:

Age:

Female

Yes

Smoker?

No

When does your group plan  expire?

(if applicable)

Please confirm your E-mail:

By E-mail

By phone

Please contact me to follow up with my quotes :

Do you or co-applicant need coverage for pre-existing conditions?

No

Yes