Contact us at 1.800.665.1234 or send us an email


Claim Forms
Desjardins Dental Accident Claim Form
Desjardins Dental Claim Form
Desjardins Extended Health Benefits Claim Form
Direct Deposit of Health and Dental Benefit Payments
Employee Reimbursement Form for ASSURE Drug Claims
Health Spending Account Request
my-benefits eClaims

Administration Forms
Administration Guide
Appointment of Beneficiary
Enrolment Application for Chief & Council
Enrolment Application for Group Insurance
Group Insurance Confirmation of School Attendance
Group Insurance Employee Change Request
Notice of Change - Salary, Occupation, Hours
Notice of Employee Termination, Leave, Reinstatement
Pre-Authorized Debits (PAD)
Request for Conversion
my-benefits Brochure

Group Pension
Please click on the applicable link and sign in to access Great-West Life and Desjardins Insurance group pension forms.

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