|  | | | | | |  This area contains downloadable files and documents to help you evaluate and apply for the Menuflex
™ Benefits Program, submit a claim form, or obtain further information.
 There are several different types of files available, including Application & Rate Forms, Health Declarations, Quotation Request Forms, Electronic Brochures, and other information to help you evaluate the program, determine your benefit needs and apply for coverage.
The File Types
 These files are provided in Adobe Acrobat Reader PDF format in order to provide compatibility across all platforms, operating systems and browsers. The Acrobat Reader plug-in is freely available from Adobe Systems here. Click here if you would like Additional Downloading Instructions If for any reason you are unable to view these files or obtain the Acrobat Reader Plug-in, please Contact Us and we will be happy to forward whatever documents you need by fax or mail. |
| | | Which forms do you need?
Note that each of the
Menuflex Benefits Program™ types uses application forms unique to that Program. Sponsored Programs
Some of you may have been referred here by your employer or organization. If so, you may have a custom-tailored Sponsored Program already designed for you. Brochures and Application Forms for these organizations are located within their respective sections of the website, and can be accessed by following the links below: (Sponsored Programs are custom-designed and intended only for each organization's staff or members. Others should use the Individual Program forms directly below.)
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| | | Menuflex™ Individual Basic & PLUS Programs | PDF | Program Information | Menuflex™ Basic & PLUS Program Flyer
(Plan Overview & Coverage Details) 2 pages |
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| Overview of All Menuflex™ Programs
(Highlights of Individual, MDSA, Low Cost, SELECT, Disability & Expatriate Plans) |
| | Application Kits
| Application Kit for British Columbia
(includes Premium Rates, Enrolment Form & Health Declarations) |
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| Application Kit for North West Territories
(includes Premium Rates, Enrolment Form & Health Declarations) |
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| Application Kit for Alberta
(includes Premium Rates, Enrolment Form & Health Declarations) |
| Application Kit for Saskatchewan
(includes Premium Rates, Enrolment Form & Health Declarations) |
| Application Kit for Manitoba
(includes Premium Rates, Enrolment Form & Health Declarations) |
| Application Kit for Ontario
(includes Premium Rates, Enrolment Form & Health Declarations) |
| Application Kit for Atlantic Provinces
(includes Premium Rates, Enrolment Form & Health Declarations) |
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| Claim Forms | Menuflex™ Claim Form
(for use when Pay-Direct Card could not be used) |
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| | MDSA (Medical & Dental Spending Account) | PDF | Brochures & Application Kits
| MDSA Application Kit for Individuals
(for Individuals / Employees / Employers
includes Application & PHD's) | Download
461 KB | MDSA +SELECT Brochure and Application Kit for Individuals
(for Individuals / Employees / Employers
includes Application & PHD's) | Download
461 KB | MDSA Application Kit for Groups
(for Employer Groupsincludes Application & PHD's) | Download
461 KB | MDSA Master Agreement
(for Employers & Self-Employed Individuals) | Download
18 KB |
MDSA Employee Flyer
(2 pages) | Download
208 KB |
MDSA Employer Brochure
(4 pages) | Download
322 KB |
MDSA Self-Employed Flyer
(2 pages) | Download
209 KB | Overviews & Additional Information | |
MDSA Explanation
(2 pages) | Download
377 KB | MDSA Advantages
(1 page) | Download
65 KB | MDSA Summary of Unique Features
(2 pages) | Download
73 KB | MDSA Program Booklet
(Detailed coverage information) | Download
154 KB |
Claim Form for Medical & Dental Spending Account | MDSA Medical or Dental Claim Form
(1 page) | Download
28 KB |
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| | | Menuflex™ SELECT Program | PDF | Program Information & Applications by Province | Menuflex™ SELECT Program Flyer &
BC / ATLANTIC PROVINCES Application Kit
(Plan Details, Application Form & Health Statement)
6 pages |
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| Menuflex™ SELECT Program Flyer &
ALBERTA / SASKATCHEWAN Application Kit
(Plan Details, Application Form & Health Statement)
6 pages | | Menuflex™ SELECT Program Flyer &
ONTARIO Application Kit
(Plan Details, Application Form & Health Statement)
6 pages | |
Menuflex™ SELECT Program Flyer &
MANITOBA / TERRITORIES Application Kit
(Plan Details, Application Form & Health Statement)
6 pages |
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General Claim Forms for Individuals & Families | | PDF | Menuflex
™ Claim Form
(for use when Pay-Direct Card could not be used) |
| | Menuflex™ Income Protection Program | PDF |
Menuflex™ Disability / Income Protection Program Brochure & Application
(for Disability, AD&D & Critical Illness) | |
| | | | Menuflex™ Income Protection Program | PDF | Brochures & Forms | Menuflex Income Protection Brochure & Application
(includes premium rates)
8 pages, 827kb | |
Disability Benefits Overview (Background Info)
4 pages, 68kb | | Francais | L'assurance-invalidité Menuflex | |
Proposition Assurance-invalidité et Déclaration de santé Menuflex | |
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| | | Odyssey Expatriate Benefits Program | PDF | Brochures & Forms | Odyssey™ Expatriate Form Pack
(includes Brochure, Application Forms and Health Questionnaires in one file) |
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| Odyssey™ Application Form |
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| Odyssey™ Health Questionnaire for Applicant |
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Odyssey™ Health Questionnaire for Each Dependent |
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| Odyssey™ Medical Claim Form |
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| Odyssey™ Dental Claim Form |
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Odyssey™ Beneficiary Designation Form |
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Credit Card Payment & Authorization Form | |
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If you need help downloading these documents click here.
We can also send these documents to you via mail or fax. Please Contact Us |
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