ALLIANCE SMG INC.
CONSULTANT FOR COOP VitroMAG GROUP BENEFITS PLAN
Toll free: 1-877-566-6132
Fax: 1-855-562-6801

Email: coop@asmg.ca

*** REQUEST A QUOTE ***

 

ADMIN. FORMS

Enrolment Request (fillable version)
Notice of Change
Change of Record
Request for conversion

 

MEDICAL EXPENSES FORMS

Medical Expenses (fillable version)
Direct Deposit
Drugs Prior Authorisation (fillable version)

 

DENTAL EXPENSES FORMS

Dental Expenses (fillable form)
Direct Deposit

 

DISABILITY CLAIM FORMS

Initial Request
Extension of Disability
Direct Deposit of Disability Benefits

 

TRAVEL ASSISTANCE

CONNECTION – Trip Cancellation Insurance
Travel Assistant Benefit