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Peter Andreana
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We have Benefits

Benefit Plan Details

* Required
Please upload PDF file of benefit booklet
Alternatively you can send via fax to 905-332-7874

Attach File (20Mb Limit)

Note - This is only needed if you do not have a booklet to upload.

Underwriting Details


Please Upload Employee Data

Click here to download the Census Data Sheet.
Complete the fields and attach the file below.

All fields except employee earnings are required, employee earnings are required for LTD or if Life Insurance coverage is based on earnings. Employee names are optional, as long as something is entered (e.g. 1, 2, etc.).

Benefit History

Please attach PDF (20mb limit) or fax to 905-332-7874 or fax 905-332-7874 the last two years of claims and rates experience.

Company Information



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