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Obtain a form

Obtain a Group Insurance Form

Plan Member

Change of Beneficiaries or Marital Status

*For Short and Long-Term Disability insurance only. This Direct Deposit form cannot be used for medical and/or dental reimbursements.

Plan Administrator

Changes to the Group or to its Members

Banking Information

Plan administrator change (to add or remove)

To send us your documents

Three options for you
By fax

450 823-0734

By mail

Humania Assurance Inc.
1555, Girouard Street West
St-Hyacinthe (Quebec)  J2S 2Z6

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