Manulife enrollment form 2026

1. Click ‘Get Form’ to open the Manulife enrollment form in the editor.
2. Begin with the Plan Sponsor Statement. Fill in the member's certificate number if known, along with the plan contract number and account/division number. Ensure to provide the plan sponsor's name and contact details.
3. Proceed to the Plan Member Information section. Enter your full name, date of birth, sex, language preference, and province of residence. Indicate if evidence of insurability is required.
4. In the Applying for Coverage section, select your desired health and dental benefits options. Specify if you are applying for yourself only or including dependants.
5. Complete the Spousal Information section if applicable, providing details about your spouse’s coverage.
6. Fill out Eligible Dependant Child Information by listing each dependant's name, date of birth, and coverage status.
7. For direct deposit setup, complete the banking information section accurately to ensure timely claim payments.
8. Finally, review all entries for accuracy before signing and dating the authorization consent at the end of the form.

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