Empire Life

Existing Clients Forms:

• Health Claim
• Dental Claim

Administration Forms:

• Group Change Form- Plan Administrator Change

New Clients Forms:

• Enrollment Form
• Employee Statement of Health

For more information feel free to look at the Empire Life website:
https://www.empire.ca/

For more forms and claim forms:

Employees:
https://www.empire.ca/group-benefits/group-forms

Administration:
https://www.empire.ca/group-benefits/group-forms