Manulife enrollment form 2025

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 and account/division numbers. Ensure to provide the plan sponsor's name and contact information.
3. In 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. Complete your address details accurately in the Plan Member Address section. This ensures that all correspondence reaches you without delay.
5. For coverage applications, specify whether you are applying for health and dental benefits for yourself or dependants. Be sure to check any applicable boxes regarding spousal coverage.
6. Fill out the Eligible Dependant Child Information section by providing names and dates of birth for each dependant. Include their coverage status under other plans if applicable.
7. Complete the Direct Deposit section if you wish to receive claim payments directly into your bank account. Provide necessary banking details.
8. Finally, review and sign the Authorization and Consent section to confirm that all information provided is accurate before submitting your form.

Start using our platform today to fill out your Manulife enrollment form easily and efficiently!