Get Group Benefits Enrolment Or Re-enrolment Application - Manulife ...

Filling out the Group Benefits Enrolment Or Re-enrolment Application is a crucial step for individuals seeking to enroll or re-enroll in a group benefits plan with Manulife. This guide provides detailed, user-friendly instructions to navigate the application process seamlessly online.

Follow the steps to complete your application accurately and efficiently.

1. Press the ‘Get Form’ button to access the Group Benefits Enrolment Or Re-enrolment Application and open it in your preferred online editor.
2. Begin with the plan sponsor statement section. Enter the member's certificate number if known, and provide the plan contract number, account/division number, and any applicable billing division. Include the plan member's name and contact information, and document their permanent full-time hire date.
3. If you are a re-hire, provide the re-hire date and indicate whether you want the waiting period added to the hire date. Fill in the plan member's occupation, class, regular hours per week, and annual earnings.
4. Move to the plan member information section, indicating whether evidence of insurability is required. Fill in the plan member's name, date of birth, sex, language preference, and province of residence.
5. Complete the plan member address section with the individual's full residential address, including postal code and city.
6. If applicable for Quebec residents, indicate participation in the RAMQ drug plan, and apply for health and dental benefits as necessary, specifying the type of coverage needed.
7. In the spousal information section, provide details about the spouse, such as their name, date of birth, and whether they have their health and dental coverage.
8. Complete the eligible dependent child information section by listing all dependents, their dates of birth, and indicating their coverage under the applicant's or spouse's plan.
9. For direct deposit, fill in the required banking information, including the name of the financial institution and account details. Complete the electronic claim statement section if applicable.
10. Finally, review the authorization and consent section, ensuring all information is accurate. The plan member must sign and date the form before submission.
11. Submit the completed form as directed, ensuring to keep a copy for your records. You may also save changes, download, print, or share the document as needed.

Complete your Group Benefits Enrolment Or Re-enrolment Application online today to ensure your benefits are processed swiftly.