Christian and Missionary Alliance
Eastern Canadian District

Enrolment and Infomation Change Forms

• Enrolment Form
• Group Coverage Change Form
• Beneficiary Change Form
• Dependent Child Eligibility Form (for dependent children over age 21)

Basic Claim Forms

• Healthcare Claim Form
• Dental Claim Form

Travel Assistance Benefits

• Description of Travel Benefits
• Out of Country Claim Form

For other forms or information please contact Karen McNichol at (416) 367-0117 ext 233 or by email.