Individual Coverage

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You have selected to be put in touch with a professional advisor for the purposes of inquiring and potentially purchasing individual health and dental coverage. Please fill out the form below and click Submit. We'll provide your contact information to one of our professional advisors. Remember – your information will be treated confidentially.

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Please check what applies to you: Year Month Day

I am inquiring about individual health and dental coverage.
I am leaving a group plan. My coverage terminates on: [yyyy mm dd]

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Our response may take several days depending on current volumes. Your patience is appreciated.

Inquiry messages sent to Green Shield Canada through this 'Submit' capability uses technology which provides a secure and confidential communication.