Unless otherwise noted, please complete, print and return your form to Sogemec Insurance:
BY secure file deposit
to the following address:
2, Complexe Desjardins, C.P. 217, Succ. Desjardins
Montréal (Québec) H5B 1G9
Option 3 requires no medical questionnaire (guaranteed acceptance). This applies to all FMSQ members.
Option 1 (prescription drug, travel and travel cancellation insurance) and Option 2 (prescription drug, health, travel and travel cancellation insurance) are subject to the insurer receiving and approving the “Insurability Report” form for all medical specialists.
You can send your application using our secured page here or by fax at 514 350-5071 or by mail to our Montreal office.
The effective date of your coverage may not pre-date the date of the signature on the request for enrolment, except for enrolments that result from an end of exemption, in wich case, the applicant must prove that he/she was insured under a similar group insurance plan to the one he/she wishes to join.
The choice of plan must remain in effect for a minimum of two (2) years and no change is possible within such period.
For more details, please contact our Customer services team at 1 800 361-5303
Original documents are required if your plan requires proof of good health (see criteria listed above).