We're sorry, but our Online Application is currently, well, offline! We're updating both the rates and form logic to make it easier to use.

In the meantime, it's still easy to apply for coverage. Simply download the PDF version of the Application Form and Health Declaration for your Province from the sidebar at right and follow the instructions therein. Alternatively, we'd be pleased to mail or fax to you any forms or documents you require.

If you require additional assistance, please Contact Us:

E. S. Maclagan & Associates Inc. 65 Cedar Pointe Drive Suite 114 Barrie, Ontario L4N 9R3 Phone: (705) 726-4192 Toronto Area: (416) 453-9430 Toll-free: 1-877-359-6368 Fax: (705) 726-0176 Email: esmaclagan@sympatico.ca

To submit an Information Request, please click here.