Apply Now
New Applicant
If you are a new customer and wish to apply online, please click the New Application button below. You will be prompted to answer a few easy questions to get a quote, then simply select a plan to start your application.
Apply Manually
If you would prefer to fill out a paper application and submit it by mail, please print the PDF provided below.
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Advisor Information
Please use the information below to complete the advisor fields. That way we’ll know who sent you to us.
Advisor Code
N7530
Office Code
GS342
MGA Code
8906
Advisor Name
Canadian Benefits
Office Name
CBCG
MGA Name
Canadian Benefits Consulting Group (CBCG)
Application Forms (PDF)
Download the form for the plan you are interested in applying for: