Online insurance application 2026

1. Click ‘Get Form’ to open the online insurance application in the editor.
2. Begin by entering your payroll account details, including the company name, mailing address, city, province, and postal code.
3. Specify the number of employees covered by your short-term disability plan(s) in the designated field.
4. If applicable, indicate how many of those employees remit Quebec Parental Insurance Plan premiums.
5. Detail how you will return the employees' portion of the savings from the premium reduction. Ensure this aligns with the requirements stated in the guide.
6. Sign and print your name as an authorized contact, providing your title and contact information including phone and fax numbers.
7. Review all entered information for accuracy before submitting. Attach any required documents as specified in the guide.

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