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Want to apply for Guaranteed Acceptance Term Life Insurance? Here's how:

  1. If you wish to pay through payroll deduction, you must first determine whether your School District participates in the “Premium by Payroll Deduction" administration process by reviewing this School District List. If your School District is on this list, please visit this page to apply. 
  2. If your School District is NOT on the list, if you are a Teacher on Call, if you are not actively at work, or if you simply wish to pay premiums to our office directly, please visit this page to apply. 

Want to apply Voluntary Term Life Insurance? Here's how:

  1. If you wish to pay through payroll deduction, you must first determine whether your School District participates in the “Premium by Payroll Deduction" administration process by reviewing this School District List. If you would like more information on the premium administration process, refer to the “How will my premiums be collected” section of the Common Questions page of this website.

    If your School District is on this list, open and print Application for Voluntary Term Life and/or Accidental Death & Dismemberment Insurance form.
  2. If your School District is NOT on the list, if you are a Teacher on Call, if you are not actively at work, or if you simply wish to pay premiums to our office directly, open and print the Application for Voluntary Term Life and/or Accidental Death & Dismemberment Insurance Individually Billed form.
  3. If you are applying for Dependent Children Term Life Insurance, please also complete the Supplementary Application for Dependent Children
     

To apply for Critical Illness Insurance:

  1. Download the form:

Mail your completed application to Industrial Alliance:

Special Markets Solutions
Industrial Alliance Insurance and Financial Services Inc.
400 - 988 Broadway W
Po Box 5900
Vancouver BC, V6B 5H6

Please note you will need Adobe Acrobat Reader, available free from Adobe, to view and print the application form.

Request an Application

To request an application: Email Industrial Alliance at solutions@ia.ca or call 1.800.266.5667 for any of the above products.

Questions? We're here to help.
Call 1 (800) 266-5667 or email solutions@ia.ca