Account Information

Your Personal Details

Date of birth

{{July 13, 1969 (55.00 years)}}

Adjudicare information

Certificate: {{certificate_number}}

Group: {{group_number}}

We don't have this on file.

Mailing address

{{### Street 1}}
{{Street 2}} (optional)
{{City}}, {{PR}}
{{X1X 1X1}}
{{Country}}

Spouse Information

Date of birth

{{July 13, 1969 (55.00 years)}}

Banking Details

Health & wellness

Self payments

Bank number

{{004}}

Account number

{{****430}}

Transit number

{{0352}}

No banking information on file. Add yours by completing the corresponding form. Download the form here.

Your Dependents

Dependent #1

Name

{{Jamie Smith}}

Date of birth

{{July 13, 1969 (55.00 years)}}

Gender

{{Female}}

You have no dependants.

Life Insurance Beneficiaries

Primary beneficiaries
Beneficiary #1

Name

{{Jamie Smith}}

% Assigned to person

{{70%}}

Trustee

{{First name}} {{Middle name - optional}} {{Last name}}

You have no primary beneficiaries.

Secondary beneficiaries
Beneficiary #1

Name

{{Jamie Smith}}

% Assigned to person

{{70%}}

Trustee

{{First name}} {{Middle name - optional}} {{Last name}}

You have no secondary beneficiaries.

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