Foursquare Group Insurance and Pension Plan
Forms for Download
Monthly Payment Distribution Form
Online Bill Payment Remittance Form
Foursquare Benefit Plan Manual
Group Insurance Plan: Manulife Financial
Class A (All Employees)
Evidence of Insurability (GL0004)
Extended Health Care Claim (GL3585)
Disability Claim Form (GE10342L GL)
Application for Change (GL3187)
Beneficiary Designation (GL1435)
Confirmation of Dependent School Attendance (GL4408)
Class B (Retirees)
No additional forms - please advise the National Office to switch you to this class when you retire
Class C (Active Employees Aged 70-74)
No additional forms- please advise the National Office to switch you to this class upon your 70th birthday
FollowMe™ Health Individual Insurance: Group Benefits for those who have retired, lost their benefits or quit the Foursquare Group Insurance Plan.