Get Beneguard Application - Benecaid

This guide provides a step-by-step approach to completing the BeneGUARD Application for Sole Proprietors online. By following these instructions, users can ensure that their application is filled out accurately and efficiently.

Follow the steps to fill out the application correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the appropriate benefit option that applies to you. Review the coverage types and monthly prices listed.
3. Fill out the member information section. Indicate whether you are incorporated or not, and provide your company name, first and last name, middle initial, street address, city, province, postal code, home telephone number, email address, date of birth, and other required personal details.
4. Complete the dependent information section by listing their relationships and providing their first and last names, dates of birth, heights, weights, genders, and answers to related questions.
5. In the pre-authorized payment section, fill out the name of your financial institution, financial institution code, transit number, and account number. Remember to attach a void cheque if necessary.
6. Answer the medical conditions section by indicating if you or any dependents have been diagnosed with specific conditions. If yes, provide detailed information as requested.
7. Complete the hospitalization/surgery section. Indicate if you or any dependents have been hospitalized or had surgeries in the last five years, and provide relevant details if applicable.
8. Fill out the family physician's information, including name, address, telephone number, and the date of the last visit. Note if any future visits are scheduled.
9. Review the declaration section, confirming that all information is true and complete to the best of your knowledge. Sign and date where indicated, including signatures from any required dependents.
10. Once all sections are completed, save your changes, and you may choose to download, print, or share the completed form as needed.

Get started on your application today by filling out the BeneGUARD Application - Benecaid online.