Sun Life Financial - GWTopNav

Health Coverage Choice - Buy online

 
Step 1
Application for Health Coverage Choice

Please provide the following information:

You, the applicant
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 
Your spouse
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 
Child 1
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 
Child 2
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 
Child 3
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 
Child 4
 First name  Initial  Last name  Sex  Date of birth
 (dd/mm/yyyy)
      male
female 		 

Your province:
 
Plan: Health and Dental Choice A
Health Choice B
Health Choice C
 
Payment: monthly (from your bank account or credit card)
annual (from your credit card)
 
Price:   $0.00     Calculate
 
Your address:
City:
Province:
Postal code:
Home telephone:    (including area code)
Work telephone (Optional):    ext:
E-mail address:
 
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