Apply Online
Member
Information
Confirm your
Coverage
Spouse
Information
Dependant
Information
Payment
Options
Medical
Questionnaire
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 health insurance coverage, the name of the insurer, plan number and ID number, and the date 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.


To continue to apply online via a secure server, please
 Click here to agree to the Terms of Purchase.

CPA Select Insurance Plans are sponsored by the Chartered Professional Accountants of Ontario
and underwritten by The Manufacturers Life Insurance Company (Manulife).
ABOUT MANULIFE YOUR PRIVACY LEGAL ACCESSIBILITY CONTACT US