Client area • General practitioner all product forms

Subscriptions, claims, exemptions, modifications, etc.

Activate or change credit cards, bank accounts and direct debits.

Change of address, Sogemec Digital Service and File Deposit registration.

Product brochures and other general information documents.

Filter forms by product type

All Life Disability Office overhead expenses Drug, health and travel Dental Secure file deposit

Unless otherwise noted, please complete, print and return your form to Sogemec Insurance:

BY secure file deposit
or
to the following address:
Sogemec Assurances
2, Complexe Desjardins, C.P. 217, Succ. Desjardins
Montréal (Québec) H5B 1G9

Enrolment

Enrollment form – Prescription Drug/Health and Dental Care Insurance | PDF 301.20 KB Enrollment form - Prescription Drug/Health and Dental Care Insurance
Enrollment form – Life and Disability Insurance | PDF 247.45 KB Enrollment form - Life and Disability Insurance
Declaration of Insurability – Medical Questionnaire | PDF 357.44 KB Questionnaire to complete if you are enrolled in life/disability/business expenses/critical illness insurance

Claims

Disability claim form – Insured statement | PDF 968.30 KB Disability claim form - Insured statement
Direct deposit form | PDF 35.53 KB Direct deposit form
Health insurance benefit claim form | PDF 550.01 KB Form must be used for health claims (drugs, health care professionals, etc.)

Modification

Modification or cancellation form – Life/Disability and other FMOQ | PDF 866.74 KB Modification or cancellation form – Life/Disability and other FMOQ
Modification or cancellation form – Drug/Health/Dental Care | PDF 99.49 KB Modification or cancellation form - Drug/Health/Dental Care
Beneficiary change request | PDF 45.00 KB Beneficiary change request form