Note: We will charge you the premiums for your first two months. If you are not completely satisfied with your plan, cancel your coverage within 30 days and we'll refund any premiums you've paid. To make sure your health coverage starts right away and continues without interruption, we collect the first two months of premiums upfront.
This helps avoid any delays or gaps in your coverage, giving you immediate access to most benefits and peace of mind knowing you're protected from day one.
To complete your application, you will need to fill in all the blanks, unless they're marked \"optional.\"
"},"descApplicationDeclaration":{"value":"descApplicationDeclaration","label":"Applicant's declaration - you must read this section before submitting your application"},"descSectionPersonalInfoStatement":{"value":"descSectionPersonalInfoStatement","label":"Personal information statement"},"descSectionPersonalInfoStatementBody":{"value":"descSectionPersonalInfoStatementBody","label":"At Manulife protecting your personal information and respecting your privacy is important to us. “We”, “us” and “our” refer to The Manufacturers Life Insurance Company and our affiliated companies and subsidiaries. In this Statement, “you” and “your” refer to the plan member or holder of rights under the contract , the insured and the parent or guardian of any child named as insured who is under the legal age for providing consent.
Updates to this Statement and further information about our privacy practices are posted to www.manulife.ca.
We collect, use, verify and disclose your personal information for identified purposes, and only with your consent, or as permitted or required by law. By selecting submit or by signing the application, you give your consent for us to collect, use, and disclose your personal information, as set out in this Personal Information Statement. Any alterations to the consent must be agreed to in writing by the Company.
Why do we collect, use, and disclose your personal information?
For the purposes of establishing and managing our relationship with you, providing you with products and services, administering our business, and complying with legal and regulatory requirements. By selecting submit or by signing the application, you give your consent for us to collect, use, and disclose your personal information, as set out in this Personal Information Statement. Any alterations to the consent must be agreed to in writing by the Company.
What personal information do we collect?
Depending on the product or service, we collect specific personal information about you such as:
Depending on the product or service, we collect personal information from:
Depending on the product or service, we disclose your personal information to:
For Pre-Authorized (PAD) payment option
Non-Chequing Accounts: Since approval from my/our financial institution is required for pre-authorized payments from accounts with no chequing privileges, I/we have made prior arrangements to allow for pre-authorized payments from my/our account.
I/We authorize Manulife to make automatic withdrawals from my/our bank account on or about the first business day of each month for monthly insurance premiums due on or after the date I/we sign this authorization. Withdrawals from my/our account may be for variable amounts, as they may change in accordance with my/our insurance contract and as required to administer my/our policy. I/We waive the right to receive further notice of the amount and date of each automatic withdrawal from my/our account. If the bank or financial institution does not honour an automatic monthly withdrawal the first time it is presented for payment, Manulife may attempt to withdraw that payment again within 30 days. Manulife reserves the right to ask for an alternative method of payment if payment is not honoured. All automatic withdrawals from my/our bank account will be treated as personal withdrawals as defined by the Payments Canada in Rule H-1. I/We or Manulife may end this agreement at any time by giving 10 days’ written notice. I/We understand that cancelling this PAD agreement may result in loss of insurance coverage unless Manulife receives another form of payment. Any refund of premium paid pursuant to this authorization shall be made to the policy owner.
You may obtain a sample cancellation form by contacting your financial institution or through www.payments.ca. If you have any questions about withdrawals from your bank account, contact us at 1-877-268-3763 or write to us at Manulife, PO Box 670, Stn Waterloo, Waterloo, Ontario N2J 4B8.
You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any PAD withdrawal that is not authorized or is inconsistent with this PAD agreement. To obtain a form for a Reimbursement Claim, or for more information on your recourse rights, contact your financial institution or visit www.payments.ca.
Manulife may terminate coverage or change the method of payment to another qualifying method should a withdrawal be refused for any reason and the financial institution shall in no way be held liable should such an event occur. A $25.00 fee will be charged for all NSF (Non-Sufficient Funds) transactions.
"},"descSectionPaymentAuthorizationCCBody":{"value":"descSectionPaymentAuthorizationCCBody","label":"For Credit Card payment options
I/We hereby authorize Manulife to make a withdrawal from my/our account on or about the first business day of each month in which insurance premiums are due. This Authorization may be terminated by either Manulife or by me/us through written notice.
Manulife may terminate coverage or change the method of payment to another qualifying method should a withdrawal be refused for any reason and the financial institution shall in no way be held liable should such an event occur. A $25.00 fee will be charged for all NSF (Non-Sufficient Funds) transactions.
You acknowledge and agree that Manulife will store information pertaining to your credit card, including but not limited to credit card number and expiration date and only use this information to make your requested automatic reoccurring charges for the premium payments/amounts for your insurance you are applying for.
Manulife will notify you in the event of any changes to this consent agreement.
This consent agreement will remain in effect until you have informed Manulife to cancel it.
"},"descSectionApplicantDeclaration":{"value":"descSectionApplicantDeclaration","label":"Applicant's Declaration and Authorization"},"descSectionApplicantDeclarationBody":{"value":"descSectionApplicantDeclarationBody","label":"This plan is underwritten by The Manufacturers Life Insurance Company.
I/We the undersigned applicant(s) hereby apply for insurance to The Manufacturers Life Insurance Company.
I/We hereby acknowledge that the statements contained herein are true and complete and together with any other forms signed by me/us in connection with this application form the basis for any policy issued hereunder.
I/We hereby authorize any licensed physician, medical practitioner, hospital, pharmacy, clinic or other medically related facility, any insurance company, agent, broker, market intermediary, plan sponsor or third party administrator (where applicable), any government agency, investigative or security agency or any other organization or person that has any records or knowledge of me/us or my/our health, or the health of any member of my/our family to be insured under this plan, to provide any such information to Manulife or its reinsurers for the purpose of this application, any policy issued hereunder and any subsequent claim.
I/We further authorize Manulife to consult this application and its existing files for this purpose.
I/We understand and agree that any injury that occurred or any medical condition, the signs of which first appeared on or before the date of this application may not be covered by my/our policy and that a failure to disclose such information could result in denial of a claim and/or the cancellation or modification of my/our policy or of the coverage for the individual(s) to whom the failure to disclose relates and the continuation of coverage for any remaining insureds. Manulife reserves the right to recover any claims paid due to any failure to disclose any injury or medical condition that existed on or before the date of this application.
I/We acknowledge receipt of and agree with the Personal Information Statement.
I/We understand and agree that coverage shall not become effective until the first of the month following final approval.
I/We hereby designate the individual(s) named as beneficiary(ies) to receive the proceeds payable upon my/our death. A photocopy of this signed authorization shall be as valid as the original.
Underwritten by The Manufacturers Life Insurance Company (Manulife).
Manulife, Manulife & Stylized M Design, and Stylized M Design are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under license. © 2025 The Manufacturers Life Insurance Company. All rights reserved. Manulife, PO Box 670, Stn Waterloo, Waterloo, ON N2J 4B8. Accessible formats and communication supports are available upon request. Visit manulife.ca/accessibility for more information
"},"descPaymentInfoTitle":{"value":"descPaymentInfoTitle","label":"How would you like to pay?"},"descSectionPaymentAuthorizationCCShort":{"value":"descSectionPaymentAuthorizationCCShort","label":"I/We hereby authorize Manulife to make a withdrawal from my/our account on or about the first business day of each month in which insurance premiums are due. This Authorization may be terminated by either Manulife or by me/us through written notice.
Manulife may terminate coverage or change the method of payment to another qualifying method should a withdrawal be refused for any reason and the financial institution shall in no way be held liable should such an event occur. A $25.00 fee will be charged for all NSF (Non-Sufficient Funds) transactions.
"},"descCCOptionSetup":{"value":"descCCOptionSetup","label":"Set up your credit card payment options"},"descPADOptionSetup":{"value":"descPADOptionSetup","label":"Set up your Pre-Authorized payment options"},"descSectionPaymentAuthorizationPADShort":{"value":"descSectionPaymentAuthorizationPADShort","label":"PAYMENT AUTHORIZATION
I/We hereby authorize Manulife to make a withdrawal from my/our account on or about the first business day of each month in which insurance premiums are due. This Authorization may be terminated by either Manulife or by me/us through written notice.
Manulife may terminate coverage or change the method of payment to another qualifying method should a withdrawal be refused for any reason and the financial institution shall in no way be held liable should such an event occur. A $25.00 fee will be charged for all NSF (Non-Sufficient Funds) transactions.
"},"descCVVTooltip":{"value":"descCVVTooltip","label":"What is CVV? Providing your CVV number proves that you actually have the physical credit card and helps to keep you safe while reducing fraud."},"descPaymentAndAuthorization":{"value":"descPaymentAndAuthorization","label":"Payment Information and Authorization"},"descPaymentInformation":{"value":"descPaymentInformation","label":"Payment Information"},"descJointAuthorization":{"value":"descJointAuthorization","label":"If more than one signature is required on withdrawals issued against the account, both account holders must agree with this payment authorization."},"descReadLegalInfoCheckBox":{"value":"descReadLegalInfoCheckBox","label":"By checking here, you confirm that you understand what you are applying for and that you accept the applicant's declaration."},"descAppSubmissionErrorHeader":{"value":"descAppSubmissionErrorHeader","label":"Processing Error"},"descAppSubmissionErrorText":{"value":"descAppSubmissionErrorText","label":"Sorry, there was an error while processing your application, please try again."},"descCcVerificationError":{"value":"descCcVerificationError","label":"Sorry, there was an error while verifying your Credit Card, please try again."},"inputPaymentCheckBox":{"value":"inputPaymentCheckBox","label":"Please select the checkbox to confirm."},"descPaymentIntro3":{"value":"descPaymentIntro3","label":"Note: We will charge you the premiums for your first month. If you are not completely satisfied with your plan, cancel your coverage within 30 days and we'll refund any premiums you've paid.
To complete your application, you will need to fill in all the blanks, unless they're marked \"optional.\"
"},"descSectionApplicantDeclarationBodyOM":{"value":"descSectionApplicantDeclarationBodyOM","label":"You hereby apply for insurance to The Manufacturers Life Insurance Company (Manulife). You declare that the statements contained in this application are true and complete and, together with any other forms signed by you in connection with this application, form the basis for any coverage issued hereunder. You understand that any material misrepresentation shall render the insurance voidable at the instance of the insurer.
As member of the Ontario Medical Association, Newfoundland and Labrador Medical Association, New Brunswick Medical Society or Medical Society of Prince Edward Island, you understand and agree that this application is void unless you are in active medical practice or in medical training in Canada and reside in Canada, on both the date of this application and on the effective date of coverage. Spouse or employee of the member is also eligible to apply. Residents of Quebec are not eligible for coverage.
You understand that there are exclusions and limitations on the coverage applied for. Relative to the insurance applied for, you hereby authorize Manulife, the plan administrator, and their authorized staff, agents, representatives, advisors, and service providers to collect, use and exchange information needed for underwriting, financial management, administration, and adjudication of claims with any person or organization who has any records or knowledge of you or your health including OMA Insurance, any licensed physician, medical practitioner, hospital, pharmacy, clinic, or other medically related facility, insurance company, MIB LLC, the group policy administrator, the insurance plan sponsor, any investigative and security agency, any agent, broker, or market intermediary, any government agency.
You hereby certify that you have read and understood the MIB, LLC (formerly the Medical Information Bureau), notice in this application, and you have, by your signature below, authorized the MIB, LLC to give to Manulife, or its reinsurers, any information it may have.
A photocopy of this signed authorization shall be as valid as the original.
You acknowledge your receipt of, and agreement with, the Personal Information Statement and Notice of Exchange on Information.
If your application is approved, you will receive relevant documents specifying the coverage provided and the main provisions under your plan.
"},"descSectionApplicantDeclarationBodyOP":{"value":"descSectionApplicantDeclarationBodyOP","label":"You hereby apply for insurance to The Manufacturers Life Insurance Company (Manulife). You declare that the statements contained in this application are true and complete and, together with any other forms signed by you in connection with this application, form the basis for any coverage issued hereunder. You understand that any material misrepresentation shall render the insurance voidable at the instance of the insurer.
You understand that to enroll in this benefits program you must be an Eligible Physician. An Eligible Physician means a physician (excluding a resident) who:
You understand that if you cease to be an Eligible Physician, you may continue to participate in this benefits program at your own expense, subject to age and certain other restrictions defined by the Program's contracts of insurance.
You hereby agree to advise the program administrator if you are no longer residing in Canada, if you are no longer registered with the College of Physicians and Surgeons of Ontario, if you are no longer engaged in providing medical services in the province of Ontario for at least 15 hours per week, on average, except during a period of disability, or if you are on a parental leave of absence for more than eighteen months. You understand that if you have any questions about your ongoing eligibility to participate in this benefits program, you should contact the program administrator.
You understand that there are exclusions and limitations on the coverage applied for. Relative to the insurance applied for, you hereby authorize Manulife, the plan administrator, and their authorized staff, agents, representatives, advisors, and service providers to collect, use and exchange information needed for underwriting, financial management, administration, and adjudication of claims with any person or organization who has any records or knowledge of you or your health including OMA Insurance, any licensed physician, medical practitioner, hospital, pharmacy, clinic, or other medically related facility, insurance company, the group policy administrator, the insurance plan sponsor, any investigative and security agency, any agent, broker, or market intermediary, any government agency.
A photocopy of this signed authorization shall be as valid as the original.
You acknowledge your receipt of, and agreement with, the Personal Information Statement.
If your application is approved, you will receive relevant documents specifying the coverage provided and the main provisions under your plan.
"},"descSectionApplicantDeclarationBodyAB":{"value":"descSectionApplicantDeclarationBodyAB","label":"You hereby apply for insurance to The Manufacturers Life Insurance Company (Manulife). You declare that the statements contained in this application are true and complete and, together with any other forms signed by you in connection with this application, form the basis for any coverage issued hereunder. You understand that any material misrepresentation shall render the insurance voidable at the instance of the insurer.
As member of the Ontario Medical Association, Newfoundland and Labrador Medical Association, New Brunswick Medical Society or Medical Society of Prince Edward Island, you understand and agree that this application is void unless you are in active medical practice or in medical training in Canada and reside in Canada, on both the date of this application and on the effective date of coverage. Residents of Quebec are not eligible for coverage.
You understand that there are exclusions and limitations on the coverage applied for. Relative to the insurance applied for, you hereby authorize Manulife, the plan administrator, and their authorized staff, agents, representatives, advisors, and service providers to collect, use and exchange information needed for underwriting, financial management, administration, and adjudication of claims with any person or organization who has any records or knowledge of you or your health including OMA Insurance, any licensed physician, medical practitioner, hospital, pharmacy, clinic, or other medically related facility, insurance company, the group policy administrator, the insurance plan sponsor, any investigative and security agency, any agent, broker, or market intermediary, any government agency.
A photocopy of this signed authorization shall be as valid as the original.
You acknowledge your receipt of, and agreement with, the Personal Information Statement.
If your application is approved, you will receive relevant documents specifying the coverage provided and the main provisions under your plan.
"},"descSectionApplicantDeclarationFooter":{"value":"descSectionApplicantDeclarationFooter","label":"Underwritten by The Manufacturers Life Insurance Company (Manulife).
Manulife, Manulife & Stylized M Design, and Stylized M Design are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under license. © ${year} The Manufacturers Life Insurance Company. All rights reserved. Manulife, PO Box 670, Stn Waterloo, Waterloo, ON N2J 4B8.
"},"descReadLegalInfoCheckBoxOPIP":{"value":"descReadLegalInfoCheckBoxOPIP","label":"OMA Priority Insurance Program Declaration, by checking here, you confirm that you understand what you are applying for and that you accept the applicant's declaration."},"inputPaymentMethodHDLPADDiscount":{"value":"inputPaymentMethodHDLPADDiscount","label":"You've reached the summary page, and that means you're very close to finishing your application.
Here's your chance to review all the information you provided. When you're satisfied that everything looks right, you can continue to the payment page.
"},"descSectionApplicants":{"value":"descSectionApplicants","label":"Applicant(s) Information"},"descSectionHealth":{"value":"descSectionHealth","label":"Health Questionnaire"},"descSectionPlanDetails":{"value":"descSectionPlanDetails","label":"Plan Details"},"descSectionPlanDetailsIntro":{"value":"descSectionPlanDetailsIntro","label":"You've chosen {0} {1}"},"descSectionPlanDetailsCost":{"value":"descSectionPlanDetailsCost","label":"Cost of plan (cost per month)"},"descSectionPlanDetailsSubtotal":{"value":"descSectionPlanDetailsSubtotal","label":"Subtotal"},"descSectionPlanDetailsSavings":{"value":"descSectionPlanDetailsSavings","label":"Your savings"},"descSectionPlanDetailsSavingsHelp":{"value":"descSectionPlanDetailsSavingsHelp","label":"By adding Manulife Vitality to your plan, you've saved 5% on your first year's premium. Register with Manulife Vitality as soon as possible. That way, your healthy activities can start counting towards next year's premium discount and other rewards."},"descSectionPlanDetailsTotalCost":{"value":"descSectionPlanDetailsTotalCost","label":"Total Cost"},"descSummaryNote":{"value":"descSummaryNote","label":"If you are not completely satisfied with your plan, cancel your coverage within 30 days and we'll refund any premiums you've paid."},"descWeightChangeAmount":{"value":"descWeightChangeAmount","label":"Weight change amount"},"descWeightChangeCause":{"value":"descWeightChangeCause","label":"Weight change cause"},"descWeightChange":{"value":"descWeightChange","label":"Weight change"},"descSmokingStatus":{"value":"descSmokingStatus","label":"Smoking status"},"descSmokingNumber":{"value":"descSmokingNumber","label":"Number of cigarettes in a day"},"descSummaryInsuranceText":{"value":"descSummaryInsuranceText","label":"When you apply for insurance online, your beneficiary is set as your estate. In your welcome package, you'll find a form that you can use to change your beneficiary."},"descInsuranceCompany":{"value":"descInsuranceCompany","label":"Insurance company"},"descSummaryGroupPlan":{"value":"descSummaryGroupPlan","label":"{0} your group plan"},"descSummaryDoctorsIntro":{"value":"descSummaryDoctorsIntro","label":"{0}'s doctors"},"descSummaryHealthIntro":{"value":"descSummaryHealthIntro","label":"{0}'s health information"},"descWeightChangeGain":{"value":"descWeightChangeGain","label":"Weight gained"},"descWeightChangeLoss":{"value":"descWeightChangeLoss","label":"Weight lost"},"descSectionPlanDetailsCostTotal":{"value":"descSectionPlanDetailsCostTotal","label":"Cost of plan"},"descSectionApplicantsEditAriaLabel":{"value":"descSectionApplicantsEditAriaLabel","label":"Edit Applicant's Information"},"descSectionHealthEditAriaLabel":{"value":"descSectionHealthEditAriaLabel","label":"Edit Health Questionnaire"},"descOMAAssoc":{"value":"descOMAAssoc","label":"Association"},"descOMACareer":{"value":"descOMACareer","label":"Career"},"descOMAId":{"value":"descOMAId","label":"OMA Member Id"},"descOMAPTMId":{"value":"descOMAPTMId","label":"PTMA Member Id"},"descOMAOPIPOffer":{"value":"descOMAOPIPOffer","label":"Have you received your offer within the last 90 days?"},"descOMASmoker":{"value":"descOMASmoker","label":"Smoker"},"descOMACoappSmoker":{"value":"descOMACoappSmoker","label":"Smoker"},"descOMAAdvisor":{"value":"descOMAAdvisor","label":"Advisor"},"descOMAOPIPDate":{"value":"descOMAOPIPDate","label":"Offer Date"},"descPlanDetailsMonthlyCost":{"value":"descSectionPlanDetailsTotalCost","label":"Total Monthly Premium"},"descSummaryNoteOneMonth":{"value":"descSummaryNoteOneMonth","label":"After we approve your application, we will charge you the premiums for your first month. If you are not completely satisfied with your plan, cancel your coverage within 30 days and we'll refund any premiums you've paid."}},"analytics":[]},"applyConfirmation":{"fields":{"descConfirmationTitle":{"value":"descConfirmationTitle","label":"Confirmation"},"descConfirmationSubTitle":{"value":"descConfirmationSubTitle","label":"Congratulations! {0} your application has been received."},"descConfirmationIntro":{"value":"descConfirmationIntro","label":"Your coverage will begin when your application has been accepted and first premium payment processed."},"descConfirmationSubTitleGuaranteed":{"value":"descConfirmationSubTitleGuaranteed","label":"Congratulations! {0} your application has been received."},"descPlan":{"value":"descPlan","label":"Your plan"},"descPlanChoice":{"value":"descPlanChoice","label":"You chose:"},"descIDNum":{"value":"descIDNum","label":"Your identification number"},"descIDNumHelp":{"value":"descIDNumHelp","label":"Please keep this number in a safe place. You'll need it to make claims and ask questions about your plan."},"descWhatsNext":{"value":"descWhatsNext","label":"What's next"},"descNextStepsGuaranteedWithVitality":{"value":"descNextStepsGuaranteedWithVitality","label":"We're in the process of reviewing your application and will contact you within 7 business days if we need more information.Your health and dental insurance coverage starts on the first day of the next month, upon receipt of the first premium payment and acceptance of your application.
"},"descNextStepsUWNoVitality":{"value":"descNextStepsUWNoVitality","label":"We're in the process of reviewing your application and will contact you within 7 business days if we need more information.Your health and dental insurance coverage starts on the first day of the next month, upon receipt of the first premium payment and acceptance of your application.
"},"descContactUs":{"value":"descContactUs","label":"If you ever have questions about your plan, please get in touch. "},"descPrint":{"value":"descPrint","label":"Print your application"},"descPrintPending":{"value":"descPrintPending","label":"Pdf is being generated, please try again later."},"descPrintExpired":{"value":"descPrintExpired","label":"Pdf is expired or unable to generate at this time, please contact us to retrieve the pdf."},"descContactUsLabel":{"value":"descContactUsLabel","label":"Contact Us"},"descPlanStartDate":{"value":"descPlanStartDate","label":"Your plan start date"},"descContactUsOPIP":{"value":"descContactUsOPIP","label":"Enhance your Critical Illness coverage with additional offer of $50,000 with no underwriting. Apply here!
"},"descNextStepsGuaranteedABPNoVitality":{"value":"descNextStepsGuaranteedABPNoVitality","label":"We're in the process of reviewing your application and will contact you within 14 business days if we need more information.This is the health care professional you visit most often for check-ups and medical care – often referred to as your \"family doctor\" (who holds the majority of your medical records).
IMPORTANT:
Genetic test means a test that analyzes DNA, RNA or chromosomes for purposes such as the prediction of disease or vertical transmission risks, or monitoring, diagnosis or prognosis.
"},"descHealthcareProvider":{"value":"descHealthcareProvider","label":"Healthcare Provider"},"descTheirDoctor":{"value":"descTheirDoctor","label":"Tell us about their doctor"},"descCoApplDoctorsContactHeading":{"value":"descCoApplDoctorsContactHeading","label":"Tell us about ${name}'s doctor"},"descPrimaryHealthProvider":{"value":"descPrimaryHealthProvider","label":"Primary Health Care Provider"},"inputApplicantDoctorSelect":{"value":"inputApplicantDoctorSelect","label":"Select"},"descRemove":{"value":"descRemove","label":"Remove"}},"analytics":[]},"applySimpleHealth":{"fields":{"inputSimpleHealth01":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent been disabled and/or unable to perform normal daily activities from any cause for at least 2 consecutive weeks within the last 5 years?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"1. "}},"inputSimpleHealth02":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent consulted or been advised to consult a Qualified Health Care Practitioner about or had any known indication of a medical condition within the last year?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"2. "}},"inputSimpleHealth03":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent sustained any injury or been treated for any medical condition that requires or has required the services of a Qualified Health Care Practitioner at least once per year within the last 2 years?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"3. "}},"inputSimpleHealth04":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent been advised to use a medication or treatment for a chronic and/or recurring medical condition?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"4a. "}},"inputSimpleHealth05":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent used any medication or treatment for 20 or more days within the past year?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"4b. "}},"inputSimpleHealth06":{"label":{"value":"label","label":"Do you, your spouse or any listed dependent expect to use any medication or treatment within the next 3 months?"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"4c."}},"inputSimpleHealth07":{"label":{"value":"label","label":"Have you, your spouse or any listed dependent been diagnosed with any medical illness, condition or disease, or been advised by a qualified health care practitioner to have an investigation, surgery or seek hospitalization? (Do not include any minor ailments such as the cold or flu.)"},"yes":{"value":"yes","label":"Yes"},"no":{"value":"no","label":"No"},"errRequired":{"value":"errRequired","label":"Please choose either yes or no."},"orderLabel":{"value":"orderLabel","label":"5."}},"descSimpleHealthHeading":{"value":"descSimpleHealthHeading","label":"Simplified questionnaire"},"descSimpleHealthIntro":{"value":"descSimpleHealthIntro","label":"Don't worry – this won't take long. That said, please consider each question carefully and provide accurate, complete answers.
IMPORTANT: Any reference to testing, tests, test results, or investigations in this section excludes genetic tests.
Genetic test means a test that analyzes DNA, RNA or chromosomes for purposes such as the prediction of disease or vertical transmission risks, or monitoring, diagnosis or prognosis.
To complete your application, you will need to fill in all the blanks, unless they're marked \"optional.\"
"},"descConditions":{"value":"descConditions","label":"Conditions"},"descMedsTreat":{"value":"descMedsTreat","label":"Medications and treatments"},"descDiagnoses":{"value":"descDiagnoses","label":"Diagnoses"},"descMedsTreatIntro":{"value":"descMedsTreatIntro","label":"You do not need to disclose medications used for birth control or to treat minor ailments like cold or flu."}},"analytics":[]},"applySFHealthStandard":{"fields":{"inputNamePerson":{"label":{"value":"label","label":"Name of person"},"placeholder":{"value":"placeholder","label":"Select"},"errRequired":{"value":"errRequired","label":"Please tell us the name of the person with the condition."}},"inputNameIllness":{"label":{"value":"label","label":"Name of illness/condition/diagnosis"},"errRequired":{"value":"errRequired","label":"Please tell us the name of the illness, condition or diagnosis."}},"inputDateDiagnosis":{"label":{"value":"label","label":"Date diagnosed"},"errRequired":{"value":"errRequired","label":"Please tell us the date the condition was diagnosed."},"errInvalid":{"value":"errInvalid","label":"Please tell us the date the condition was diagnosed."},"placeholderMonth":{"value":"placeholderMonth","label":"Month"},"placeholderYear":{"value":"placeholderYear","label":"YYYY"}},"inputDuration":{"label":{"value":"label","label":"Duration"},"errRequired":{"value":"errRequired","label":"Please tell us how long the person has had the condition."}},"inputDoctor":{"label":{"value":"label","label":"Which doctor treated this illness?"},"errRequired":{"value":"errRequired","label":"Please choose a doctor."},"yes":{"value":"Y","label":"Yes"},"no":{"value":"N","label":"No"},"placeholder":{"value":"placeholder","label":"Select"},"note":{"value":"note","label":"Need to add another healthcare provider? Go back.
Don't worry, the information you have provided so far will be saved.
"}},"inputCurrentStatus":{"label":{"value":"label","label":"Current status of condition"},"errRequired":{"value":"errRequired","label":"Please tell us the current status of the person's condition."}},"actionAddAnother":{"value":"actionAddAnother","label":"Add information about another applicant or condition"},"invalidInput":{"value":"invalidInput","label":"Please enter a valid input"}},"analytics":[]},"applySFHealthPregnant":{"fields":{"inputName":{"label":{"value":"label","label":"Name of person"},"placeholder":{"value":"placeholder","label":"Select"},"errRequired":{"value":"errRequired","label":"Please tell us the name of the person who is pregnant."}},"inputDueDate":{"label":{"value":"label","label":"Due date"},"errRequired":{"value":"errRequired","label":"Please tell us when the baby is 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Updates to this Statement and further information about our privacy practices are posted to www.manulife.ca.
We collect, use, verify and disclose your personal information for identified purposes, and only with your consent, or as permitted or required by law. By selecting submit or by signing the application, you give your consent for us to collect, use, and disclose your personal information, as set out in this Personal Information Statement. Any alterations to the consent must be agreed to in writing by the Company.
What personal information do we collect?
Depending on the product you have applied for, we collect specific personal information about you such as:
This plan is underwritten by The Manufacturers Life Insurance Company.
I/We the undersigned applicant(s) hereby apply for insurance to The Manufacturers Life Insurance Company.
I/We hereby acknowledge that the statements contained herein are true and complete and together with any other forms signed by me/us in connection with this application form the basis for any policy issued hereunder.
I/We hereby authorize any licensed physician, medical practitioner, hospital, pharmacy, clinic or other medically related facility, any insurance company, agent, broker, market intermediary, plan sponsor or third party administrator (where applicable), any government agency, investigative or security agency or any other organization or person that has any records or knowledge of me/us or my/our health, or the health of any member of my/our family to be insured under this plan, to provide any such information to Manulife or its reinsurers for the purpose of this application, any policy issued hereunder and any subsequent claim.
I/We further authorize Manulife to consult this application and its existing files for this purpose.
I/We understand and agree that any injury that occurred or any medical condition, the signs of which first appeared on or before the date of this application may not be covered by my/our policy and that a failure to disclose such information could result in denial of a claim and/or the cancellation or modification of my/our policy or of the coverage for the individual(s) to whom the failure to disclose relates and the continuation of coverage for any remaining insureds. Manulife reserves the right to recover any claims paid due to any failure to disclose any injury or medical condition that existed on or before the date of this application.
I/We acknowledge receipt of and agree with the Personal Information Statement.
I/We understand and agree that coverage shall not become effective until the first of the month following final approval.
I/We hereby designate the individual(s) named as beneficiary(ies) to receive the proceeds payable upon my/our death. A photocopy of this signed authorization shall be as valid as the original.
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P.O. Box 670, Stn Waterloo,
Waterloo, ON
N2J 4B8
The Vitality Group Inc., in association with The Manufacturers Life Insurance Company, provides the Manulife Vitality program. Vitality, Vitality Points, and Vitality Age are trademarks of Vitality Group International, Inc., and are used by The Manufacturers Life Insurance Company and its affiliates under license. Manulife, Manulife & Stylized M Design, and Stylized M Design are trademarks of The Manufacturers Life Insurance Company, and are used by it, The Vitality Group and its affiliates under license. PO Box 670, Stn Waterloo, Waterloo, ON N2J 4B8.
Eligibility and availability of rewards are not guaranteed and may change over time. Insurance provided by The Manufacturers Life Insurance Company.
Manulife, Manulife & Stylized M Design, Stylized M Design and Cover-Me are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under license.
© ${year} The Manufacturers Life Insurance Company. All rights reserved. Manulife, PO Box 670, Stn Waterloo, Waterloo, ON N2J 4B8.
Manulife, Manulife & Stylized M Design, Stylized M Design and Cover-Me are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under license. © ${year} The Manufacturers Life Insurance Company. All rights reserved. Manulife, PO Box 670, Stn Waterloo, Waterloo, ON N2J 4B8. Accessible formats and communication supports are available upon request. Visit manulife.ca/accessibility for more information.
"},"descHealthPlanApplicationOPIP":{"value":"descHealthPlanApplicationOPIP","label":"OMA Priority Insurance Program (OPIP) Application"},"descHealthPlanApplicationABP":{"value":"descHealthPlanApplicationABP","label":"Atlantic Benefits Program Application"}},"analytics":[]},"applyTerms":{"fields":{"descTermsHeader":{"value":"descTermsHeader","label":"The information you input on the application form is collected by Manulife. Manulife may contact you about your application. Your personal information will be handled in accordance with Manulife’s privacy policies.
Any purchase of insurance from this Site will be subject to the applicable laws and the terms and conditions of the contract of coverage as issued by Manulife.
The content on our site is for informational purposes only, and should not be interpreted as a recommendation for any specific product or service, use or course of action. It's not intended to be used as a substitute for financial, legal, accounting, tax, or other professional advice or services, so please don't rely on it for these purposes. We are unable to guarantee that the information contained in our site is accurate at all times or suitable for any particular purpose and we make no express or implied representations or warranties about the information. We won't be responsible for any reliance you or any other party might place upon the information and we won't be responsible for any damages you or others might suffer, even if we had been warned of the possibility of these damages.
Use of this Site shall be on an \"as is\" basis and entirely at your own risk.
Manulife, its affiliated companies, its officers, directors, agents or employees, or any other person associated with the creation or operation of this Site, shall not be liable or responsible for any harm, loss or damage (whether arising in contract, tort, negligence, or otherwise) that may arise in any connection with use of this Site, including any direct, indirect, special, third party, or consequential damages.
You agree that all information you provide to Manulife in any connection with this Site is true, accurate and complete in all ways and you acknowledge that Manulife relies on that information to provide you with information and/or insurance coverage. Manulife works hard to provide the right insurance solutions, both quickly and efficiently. Your application will be processed upon submission, but we reserve the right to request additional supporting information at any time after your policy application has been received and reviewed.
This is not a contract. Actual terms and conditions are detailed in the policy issued by Manulife upon application approval. It contains important information concerning details, terms, conditions and limitations. Please read it carefully upon receipt.
If the plan is \"medically underwritten\" or \"requires a medical questionnaire\", you must disclose any medical condition, injury or illness that occurred or existed on or before the date of your application, regardless of whether you went to see a doctor about the condition or were given a diagnosis, or whether or not you believe that it is important. The premium charged and/or benefits offered could be subject to adjustment or modification of coverage, or declined based on you or your family's medical background. This will be determined after an evaluation of the information provided on the enclosed medical questionnaire. As part of the application process, we may reach out to you to obtain additional medical information.
Coverage is effective the first day of the month following the approval of the application.
If you and/or your family's medical history is such that a higher premium is required or that special conditions be applied to benefits (see Medically Underwritten), you will be notified in writing prior to your decision to accept the coverage. If at that time you decide not to proceed with the coverage, any initial payment will be returned and your application cancelled.
Full coverage is available for expectant mothers who qualify for additional Hospital coverage benefit within the first 20 weeks of pregnancy (Maternity Hospital stay is limited to 2 days). Manulife cannot guarantee the availability of private or semi-private hospital accommodation.
Unused portion of benefits cannot be accumulated and added to coverage in future months or years. All maximums are per person, not per family, in Canadian Dollars.
Parents with an existing Flexcare Plan can add their newborns to the same coverage and plan if an application is made within 30 days of birth, subject to the plan maximum in Canadian Dollars for each individual. If application is after their 30th day, medical information will be required.
Later versions of Internet Explorer offer a feature named \"AutoComplete\". Among other uses, AutoComplete works when filling out forms on the Web. After the first time you type your name or other frequently used information into a form, AutoComplete \"remembers\" it. The next time you start to type your name, AutoComplete gives you a drop down list of matches for you to select from. AutoComplete, or similar features of other browsers, potentially present a security issue, in that any information entered on websites can be accessed by future users of that same computer via the drop down boxes.
Note: The information used for suggested matches is stored and encrypted for privacy on the user's computer, and is NOT stored on Manulife's server.
Manulife does not encourage or discourage use of this feature, and assumes no responsibility for private information made available to other users of the same computer at a later date.
Should you wish to disable \"AutoComplete\" or a similar feature of another browser please consult your reference manual or contact the manufacturer.
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