Apply Now

Apply Now

How to Apply:

  1. Download the application form above
  2. Print the application
  3. Complete the health questionnaire
  4. Attach a void check (or copy of a void check)
  5. If Applying for Assured Access Blue Cross will require 12 months claims history from your existing group insurer or a signature on the application from your family physician.
  6. If applying for Blue Cross Non Medical Life Insurance a check for the first month’s premium is required.
  7. If applying for Blue Cross Travel Insurance once quote sheet is received, we will tailor a quote and contact you with details ( Credit Card Information on this form is not mandatory to request a quote)
  8. Scan and email, mail or fax to:18 Willow Lofts, Suite 201
    Truro, Nova Scotia
    B2N 4Z4
    Fax: (902) 893-6126
    or
    email:
    1 855-893-9930

MacLellan & Moffatt Health Insurance prides itself on their level of service. Do not hesitate to contact us directly to assist in the application process, or to obtain more information on the products discussed on this website.