• Click on the following link to view our current PlanDirect Application.
• You must have Acrobat Reader in order to view this file.
• If you don't have the reader please click on this free Acrobat Reader link to download and install the reader.
• Once you have opened the PlanDirect application, either type in your selections and print, or print it out and complete the form manually.
• Mail the completed form to:

Owen & Associates
208 Evans Ave, Suite 107
Toronto, Ontario
M8Z 1J7

• Please include a personalized, blank cheque marked "VOID" to establish pre-authorized payment.
• Also enclose a cheque for your first two months' premium payable to 'PDAdmin Group'.
• If you are applying for preferred or preferred plus rates, please provide us with the following proof of prior insurance coverage:
  • A letter from your previous employer stating the date your benefits terminated and detailing the type of benefits you were covered for
    
    OR
  • A copy of your summary of benefits from the previous carrier and proof as to the last premium payments made or last billing invoice.
  • Make certain that you and your spouse, if applicable, have both signed the authorization for pre-authorized payment, and have signed and dated the declaration and authorization sections on page 4.
  • Please ensure that all sections of the medical and lifestyle Questionnaire have been completed for all applicants.

Your coverage will begin on the first of the month following the date that we receive your application and premium payment. A confirmation package will be mailed to you with your policy details, and any forms you may require.

If you have any questions or concerns, please do not hesitate to contact Owen & Associates at:

mike.owen@sympatico.ca
or
Phone: 416-252-6116
Fax: 416-252-9920