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This is your time. Make sure you’re ready.

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Please select at least one product that you are interested in:


Health & Dental Insurance
(+ Annual Travel Option)


Victor Health & Dental Insurance is underwritten by:

The Manufacturers Life Insurance Company


Victor Annual Travel Insurance is underwritten by:

The Manufacturers Life Insurance Company


Victor Health & Dental Insurance is underwritten by:

The Manufacturers Life Insurance Company


Victor Annual Travel Insurance is underwritten by:

The Manufacturers Life Insurance Company

return to selection


RecoverEase
Insurance

Victor RecoverEase Insurance is underwritten by:

Industrial Alliance


Victor RecoverEase Insurance is underwritten by:

Industrial Alliance

return to selection


Life
Insurance

Victor Life Insurance is underwritten by:

The Manufacturers Life Insurance Company



Victor Life Insurance is underwritten by:

The Manufacturers Life Insurance Company


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Your Information

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Spouse Information

The following fields are only required if you wish to receive pricing information for your spouse.
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Retiree Benefits Enrollment - Quote


Total Premium: $0.00/month

(applicable taxes included)
 
 
 



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Getting Started

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We have a few questions before we proceed with your application.

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Please read and accept the following:
 
Victor’s Role | Insurer Privacy and Confidentiality Statements

Victor’s Role and Compensation


Victor is acting as the managing general agent and program manager for our selected insurance carriers (The Manufacturers Life Insurance Company (Manulife) and Industrial Alliance Insurance and Financial Services Inc. (Industrial Alliance) to provide retiree insurance, including health, dental, life, travel, and convalescent care, to its clients. As the managing general agent for the carriers, Victor will perform all of the functions necessary to quote, and upon your acceptance, issue this insurance coverage for you. In accordance with industry custom, Victor is compensated by each of the insurance carriers for the management and administration of these insurance programs. Victor’s compensation is calculated as a percentage of the insurance premium charged by the carriers. Victor will provide you with additional information about our compensation upon your request. You may obtain this information by calling us toll free at 1-877-732-2879 or emailing us at info.ca@victorinsurance.com.



 

By proceeding, I agree to Victor's Role and Compensation and Terms of Use and use of my personal information as outlined in the Insurer Privacy & Confidentiality Statements and Victor's Privacy Notice.

Reminder Service

Please note that we cannot accept an application for an effective date more than 6 months in the future. If you'd like, you can set up a reminder with us and we will contact you closer to your requested effective date.

Please provide your contact information below.

Your first name must be at least 2 letters.
 
Your last name must be at least 2 letters.
 
We'll need your email in order to send you a reminder.
 
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Visit again soon
Please note that we cannot accept an application for an effective date more than 6 months in the future. Please visit again within 6 months of your desired effective date.


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Profile

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Policyholder Information:

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Contact Information:

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You must enter a valid email address to enroll online.
If you do not have an email address, please contact us for assistance.

Please enter a valid email address.

Address:


Enter address manually
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Province Mismatch. Please edit address above or click here to correct province under Basic Information.
Street address
City
State Zip code
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Coverage Details

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New Coverage Effective Dates

 
 
 
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Medical Questionnaire

Because you have not applied for the Health & Dental plan within 90 days of losing your prior coverage,
both you and your spouse must be medically underwritten and approved before this plan can become effective.
A Medical Questionnaire will be emailed to you upon submission of your application.
Additional details will be provided on the Summary of Coverage page.
Please proceed to the next step.
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Payment

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Set up your PAD Agreement

Please read the PAD Agreement and agree to its terms, then enter your banking information below to set up payment of your plan via pre-authorized monthly debit.
 
I/We authorize Victor Insurance Managers Inc. to withdraw my/our total monthly premium (as determined by my/our plan selections) from the specified account on the first banking day of each month. All persons whose signatures are required to sign on the specified account have agreed to this authorization. All automatic withdrawals from the specified account will be treated as personal withdrawals as defined by the Canadian Payments Association in Rule H-1. I/We will be notified in advance of the initial withdrawal amount, as well as any change in withdrawal amounts, which may vary according to changes in my/our benefits plan (i.e. enrollment in additional plans, annual rate increase). Any refund of premium paid pursuant to this authorization shall be made to the policy owner.

Please note the following important information:

  • You may cancel your Personal Pre-authorized Debit Agreement at any time, subject to providing written 30-days notice to Victor Insurance Managers Inc. Retiree Benefits, 600 – 55 Standish Court, Mississauga, ON L5R 4B2. You may obtain a sample cancellation form by contacting your financial institution or by visiting www.payments.cawww.payments.ca page opens in a new tab.

  • You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with your Personal Pre-authorized Debit Agreement. To obtain more information on your recourse rights, contact your financial institution or visit www.payments.cawww.payments.ca page opens in a new tab.
 
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Summary of Coverage

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selling feature

You can rely on Victor

With a history stretching back over 60 years, you can rely on Victor’s experience and know-how to help support you during your retirement. So that you can get the most out of it.

Your Plan

Your Plan Details
Coverage Insured Monthly Premium Tax
Total Monthly Premium: $0
Please be advised that rates are evaluated on an annual basis and are subject to change on January 1st of each year.

Effective Dates

(please Scroll to right)
Policy Effective Date Details

Payment Details

Declaration

  • I/We acknowledge that the statements contained herein are true and together with any other forms signed by me/us in connection with this enrollment form the basis for my/our coverage. I/We understand that my/our coverage will begin on the effective date(s) indicated above, provided Victor has received my/our banking information for pre-authorized debit.