Apply Now

1. Apply for coverage

Fill out the application form

Select a form below if you are applying for any of these products:

Accidental Death and Dismemberment, Critical Illness and/or Term Life Download PDF
Extended Health & Dental Insurance Application Download PDF

Existing client only

Fill in this form if you are applying to any of these products:

Dependent Children Critical Illness and/or Dependent Children Term Life Download PDF

2. Mail your application

Mail your completed application along with a cheque for your first month's premium, if applicable, to iA Financial Group at the following address:

Special Markets Solutions

iA Financial Group
400 - 988 Broadway W.
PO Box 5900
Vancouver BC, V6B 5H6

Questions? We're here to help.

1-800-266-5667 specialmarkets@ia.ca