CINUP - Home
CINUP
The CINUP Difference Commitment To You Group Insurance Group Pension Forms Resources Charitable Giving Contact Us

Forms

Group Insurance

Enrollment and Change Forms
Form
Sample
CINUP Individual Application for Group Insurance
CINUP Group Insurance and Pension Plan Notice of Coverage Change
CINUP Group Insurance Confirmation of School Attendance
CINUP Appointment of Beneficiary
CINUP Group Insurance and Pension Plan Notice of Change
Salary / Occupation / Hours
CINUP Group Insurance and Pension Plan Notice of Termination of Service

Claims Forms
Form
Sample
Blue Cross Extended Health Benefits Claim Form
Blue Cross Nexus National Claim Form (Manual RX Claims only)
Blue Cross Travel Health Plan Claim Form
Blue Cross Vision Care Claim Form
Blue Cross Dental Claim Form

Other
Form
Sample
Business Pre-Authorized Debit (PAD) - Payor's Authorization
Group Insurance Request for Supplies
RBC Insurance Application for Conversion of Group Life Insurance To An Individual Life Insurance Policy
RBC Insurance Evidence of Insurability Form

Group Pension

Great West Life / London Life
Form
Sample
How to Enroll and RPP Membership Application
 
Member Information Change Form
 
Designation of Revocable Beneficiary Form
 
Member Investment Instructions
 
Transfer Terminated Account to Active Request
 
Member Termination
 
EFT Authorization Letter
 
Investment Personality Questionnaire
 
Cadence Series Funds - Booklet
 

Manulife
Form
Sample
Enrollment Form Registered Pension Plan
Change of Investment Direction for Future Contributions
Investing in Your Future
Group Insurance and Pension Plan Notice of Coverage
Appointment of Beneficiary
Group Insurance and Pension Plan Notice of Change
Group Insurance and Pension Plan Notice of Termination
Business Pre-Authorized Debit (PAD) - Payor's Authorization
Group Pension Request for Supplies

 

 

 

Home - Legal - Privacy