Insurance Plans
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AdvantEdge/HealthEdge Premiums
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Applications for AdvantEdge/HealthEdge Rates

Below, you can download the application form to apply for AdvantEdge or AdvantEdge Special rates under the Canadian Dentists' Insurance Program’s Basic Life Insurance or Family Life Insurance plans.

The same application can be used to apply for HealthEdge or HealthEdge Special rates under the Insurance Program’s Long Term Disability Insurance or Office Overhead Expense Insurance plans.

Mail or fax the completed application form to:
CDSPI Insurance Services, 155 Lesmill Road, Toronto, Ontario, M3B 2T8.
Fax: 416-296-8920.

If you need assistance completing this form, contact CDSPI Insurance Services

Application: AdvantEdge/AdvantEdge Special Rates for Basic Life or Family Life Insurance; or HealthEdge/HealthEdge Special Rates for Long Term Disability or Office Overhead Expense Insurance

Note: To view this form, you will need to have Adobe Acrobat Reader installed on your computer.

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