Blue Cross Software -Hard copy & Download V2.2.3 (Blue Vision), April V1.2 (Mortgage), V1.2.5 (Tangible) Life Applications
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1 Current Application Forms and Software as of July 2, 2013 Life and Investments Updated on Assumption Life Software - Download Ver 9.6 October Golden Protection & Golden Protection Plus App A-MAY2012 Life Insurance Application (No Longer in Use) A-MAY2012 Blue Cross Software -Hard copy & Download V2.2.3 (Blue Vision), April V1.2 (Mortgage), V1.2.5 (Tangible) Application 11COU014A Summary of Coverages 11COU0108A Short Health Statement 01VSR0036A (03-13) Health, Drug, and Dental 01ONT0303A(07-11). BMO Life Assurance Company Software -Hard copy & Download Version 26.0 (The Wave) April Application 126E(2013/01/01) Application for a Single Premium Immediate Annuity 348E(2013/01/01) Canada Life Software - Download Version 2.0 (Concourse) Zoom 13.3 May Life Insurance Application 405CAN (6/12) Application for CI & Disability Insurance F541 CL (12/12) Application for Independence Plan Disability-Loss of Income Coverage 14CAN (11/11) Combined Life and CI Application (2/09) Telephone Application for Life Insurance 413CAN (6/12) Individual Life Insurance Application for Policy Change (6/12) Estate Protection - Non Register Application (12/10) Information Folder (7/12) Contract (11/10) Seg. Funds - Income: RSP, LRSP, LIRA,RLSP - Non Reg Application (05/12) Information Folder (09/12) Contract (05/12) Seg. Funds - Savings: RIF, LIF, RLIF, PRIF, LRIF Application (05/12) Information Folder (05/12) Contract (05/12) Seg. Funds - TFSA Application (05/12) Information Folder (09/12) Contract (05/12)
2 Canada Protection Plan Software - Download Version 3.0 July Application for Non-Medical Life Insurance: Acceptance, Deferred & Simplified Life CAN (12/2012) Non-Medical Term, 10, 20 & CAN (12/12) Cumis Software - Contact us Version 3.4 October Application for Non-Medical Life Insurance: Acceptance, Deferred & Simplified Life EF /10 Desjardins Financial Security Software -Hard copy & Download Version June Life, Health & Disability Application 07002E (12-01) Application for Simplified Issue Insurance 00133E04 (11-05) Independent Living Insurance Application (Long Term Care) 05026E (12-07) Solo Healthcare 02187E(10-08) Helios - GIF: Non Reg, RSP,RIF, LIF, RLIF, PRIF, LRIF GIF Statement of Direction 10064E (12-09) Contract Application 10062E (12-09) Contract & Information Folder 10058E (12-09) Helios - GIF: TFSA GIF Statement of Direction 10064E (12-09) Helos - Contract Application 10063E (12-09) Helos - Contract & Info Folder 10058E (12-09) Savings Contract 02162E(12-09) Savings Contract -TFSA 08296E (09-12) Edge Benefits, The The EDGE Encore Application for non-medical CI, Accident Death Dismemberment & Final Nov 11 The EDGE Disability Application for disability Nov 11 Empire Life V 9.4-Envision, Software -Hard copy & Download Investment Ilustrator V2.0 Life and Health Insurance Application D-0082-ENG (09/12) Single Life Term Insurance Application D-0024-ENG (04/13) Single Premium Immediate Annuity Application INP-0016-ENG-06/11 June Empire Class Segregated Funds Application INP-1050-ENG-01/13
3 INP-0176-ENG-01/13 Empire Class Plus 2 Segregated Funds Application INP-0166-ENG-01/13 INP-0176-ENG-01/13 Empire Class Plus 2 Application for nominee Intermediary Account Application INP-0266-ENG-01/13 Empire Class Segregated Funds - TFSA Application INP-0270-ENG-01/13 INP-0176-ENG-01/13 Empire Class Plus 2Segregated Funds - TFSA Application INP-0267-ENG-01/13 INP-0185-ENG-01/13 Elite or Elite XL Investment Program Application INP-0165-ENG-06/12 INP-0260-ENG-06/12 Empire Elite- Elite XL Segregated Funds-TFSA Application INP-0278-ENG-06/11 INP-0260-ENG-06/12 Equitable Life Software - Download Version May Application for Life and/or C.I. Insurance 350 (2012/01/01) Short Form Single Life App. For Term Insurance 351 (2010/03/01)
4 Guaranteed Interest Account - Non-Reg, RRSP, RIF, LIF Application 799 (2011/01/01) Pivotal Solutions - Non-Reg & RRSP Application 1377(2011/02/01) 1381(2011/01/01) 1170(2011/12/31) Contract 1379(09/2010) Pivotal Solutions - RIF/LIF Application 1378(2011/04/06) 1381(2011/11/01) 1170(2011/12/31) Contract 1379(09/2010) Pivotal Solutions - TFSA Application 1382(2011/02/01) 1381(2011/11/01) 1170(2011/12/31) Contract 1379(09/2010) Immediate Annuity Application 355(2012/08/20) Foresters Life - (Unity Life) Software -Hard copy & Download Sky May Foresters Life and Foresters Application for Insurance: Life and Critical Illness CAN (05/13) Guaranteed Issue Whole Life Application CAN (01/12) GWIL (E) Health Security Plus Application CAN (05/12) HSP (E) Turbo Application CAN (01/13) TURBO (E) EZ Term Application CAN (01/13) E-Z Term (E) Future Bright Future Safe Guaranteed Acceptance Critical Illness Insurance Application Humania Software -Hard copy & Download Ver (P.A.I.G.E) - Ver (Protégé) January P.A.G.E. Insurance Application + PAD Form (01/2012) Prodige Insurance Application + PAD Form ( ) Prohealth Cancer Insurance ( ) Industrial Alliance Software -Hard copy & Download Version (Interface) June Application for Life & CI Insurance F1A(13-05) Simplified Critical Illness F32A(12-07) Alternative Life Insurance Application F2A(11-06)
5 Additional of Coverage F3A(12-04) Perspective Life Application F8A(12-06) Disability Insurance Application F7A(12-06) RESP Applications My Education - Individual Application - Individual F23A-P(10-09) Individual Variable Annuity Contract F24A-P(10-10) F14-5A-P (12-04) My Education - Family Application - Family F28A-P(12-10) Individual Variable Annuity Contract F24A-P(10-10) F14-5A-P (12-04) My - Diploma Application F25A-P(12-10) Application F26A-P(12-01 ) Diploma Information Folder F13-443A-P(12-07) Application for Policy Loan - RESP F51-192A-P(12-07) Agreement to Administer Funds - RESP F51-194A-P(12-02) RRSP loan Application & Agreement F16A-P(10-12) Ecoflex - Ecoflextra - IAG Savings & Retire Plan Application F17A-P(12-04) Information Folder F13-772A-P (12-02) Ecoflex - Ecoflextra - TFSA Application F17A-1-P(12-04) Information Folder F13-772A-P (12-02) Manulife Software -Hard copy & Download Version April Application for Life, Disability and C.I. Insurance NN7000E (06/2012) Application for Long Term Care Insurance NN7009E (06/2012) TFSA - GIF Application & Contract NN1565E (04/2012) GIC Select - Income Plus Application x2 NN0821E (04/2012) GIF Select - MK2442E (04/12) MK2278E (10/10) & GIF Select - Info Folder & Contract MK2279E (04/12) GIF Select - Election NN1586E (04/2012) GIF Select - Folder MK2291E (01/12) GIC Select - Estate Plus Application x2 NN0821E (04/2012) GIF Select - MK2442E (04/11) GIF Select - Election NN1585E (10/2010) GIF Select - Info Folder & Contract MK2278E (10/10) & MK2280E (04/12) GIF Select - Folder MK2290E (01/12) GIC Select - TFSA Application - TFSA NN1565E (04/2012) Penncorp (La Capitale)
6 Software - Hardcopy La Capitale March Application for Life Insurance MGA Application for Life insurance and Critical Illness (La Capitale) T073 ( ) RBC Insurance Software -Hard copy & Download Version 6.0 Build 14 May Life Insurance Application (03/2012) T10 or T20 Life &/or CI Application (08/2012) Disability or CI Application (04/2010) Critical Illnesss Application (04/2010) Disability Application (08/2012) Long Term Care Application (12/2009) Standard Life Software - Hardcopy Standard Life Wealthcare v32.01 January DISCONTINUED 12/31/2011 Registered and Non Registered Annuity Application 3058M Ideal Seg Funds - Signature Series Application - Signature Series Fund Details - Signature Series 6414E Information Folder - Signature Series 6414E Ideal Seg Funds - Signature Series - TFSA Application Fund Details - Signature Series 6414E Information Folder - Signature Series 6414E SSQ Insurance (AXA) Software -Hard copy & Download Version 2.1 May Application -Traditional, CI, UL A Rev ( ) Sun Life Software -Hard copy & Download Version June Application for Life and/or CI Insurance Rapid Application for Life & CI Insurance Application for Long Term Care Insurance SunWise Essential Series Application 1109_1152_E (01/12) _E (01/12) Information Folder & Contract _E (01/12) Transamerica Life Software -Hard copy & Download Version 10.2 (LifeView) June-27-13
7 Life Insurance Application - Long Form LP257 (8/12) Short Form Life Insurance Application (No loger in Use) Guaranteed Interest Account Application & Contract IP1303 (4/10) Single Premium Immediate Annuity Application IP-NB151 (11/11) GIF Enrolment Kit Cover/Application IP1289 (11/12) - IP1299 (11/12) IP1301 (11/12) Information Folder IP1300 (11/12) GIF - TFSA Enrolment Kit Cover/Application IP1326 (11/12) - IP1302 (11/12) IP1301 (11/12) Information Folder IP1300 (11/12) UL Mutual Software -Hard copy & Download Version 2.0 June Application for Life and/or CI Insurance (22-UL)
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