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Health & Dental Insurance: Apply Now

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knowledgeable customer
service representative.

1-866-707-4922

Monday - Friday,
8 am to 8 pm ET
OR E-mail anytime:
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Apply Online
Personal
Information
Select Your
Plan
Co-Applicant
Information
Dependant
Information
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Options
Medical
Information
Confirmation
Starting the Application
Support Information
Please have the following information handy to ensure your online application proceeds quickly and smoothly:
  • Your doctors' addresses;
  • The name of any prescription medication you are taking;
  • Your credit card information or bank information for a pre-authorized payment plan;
  • If you have or recently had group insurance, the name of the insurer, your group plan and subscriber ID, and the date the benefits end; and
  • Your driver's license.

*Does each applicant have provincial/territorial health care coverage?   Yes No  

Terms of Purchase
To complete your purchase, we require your agreement with the following Terms of Purchase. Please read the terms carefully before you proceed to purchase your plan. You can indicate your agreement by checking the box below.

Manulife works hard to provide the right insurance solutions, both quickly and efficiently. Your application will be processed upon submission, but we reserve the right to request additional supporting information at any time after your policy application has been received and reviewed.

If you do not agree with these terms, please exit this Site.


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