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Group Insurance Solutions

1-800-665-8990
www.westernfgis.ca

Western Financial Group (Network) Inc.

Administration Forms
pdf Application for Change pdf Overage Dependant
pdf Authorization for Private Nursing pdf Overage Disabled Dependent
pdf Beneficiary Designation pdf Pre-Authorization Chequing Plan
pdf Declaration of Health Condition pdf Refusal of EHC and Dental Care Coverage
pdf Employee Enrollment pdf Evidence of Insurability
 

Please send completed forms to Group Insurance Solutions:

Group Insurance Solutions
777 Portage Avenue
Winnipeg, MB R3G 0N3

 

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