File a Claim |
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Health Claims Reimbursement Form |
Submit your health or dental claims online through Argus Vantage. You will be required to register if you do not yet have an Argus Vantage account. |
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Electronic Funds Transfer Authorization Agreement Form |
Set up a direct deposit for your health claims reimbursements to be automatically deposited into your bank account. You will be required to register for Argus Vantage if you do not yet have an Argus Vantage account. |
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Dental Claim Form |
Download the dental claim form and have your dental practice complete and sign it. Next, submit your claim along with this form online through Argus Vantage so we can reimburse you. |
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Health Claims Reimbursement Guidelines |
What you need to know when filing a health or dental claim. |
Access Your Health Information Online |
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Register for Argus Vantage |
Complete the registration form to manage and access your health information 24/7, view benefits, submit claims online and print ID cards. |
Change Coverage or Information |
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Student Status Form |
If your dependent child (19 - 26 years) is in school, fill this form to confirm student status |
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Change of Information Form for Individual Coverage |
Change benefit or dependent status or let us know about a name change |
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Change of Information Form for Group Coverage |
Update your coverage or dependent status or let us know about a name change |
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Specialty Drug Coverage Request Form |
Download the specialty drug coverage request form and have your physician complete and sign it. Please use a separate form for each drug. |
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Policy Termination Form for Individual Health |
End coverage for members on individual plans |
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Third-party Authorisation Form |
Grant a third-party access to your group or individual health records for the purpose of evaluating and administering claims and ongoing eligibility. |
Enrol in a Plan |
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Individual Health Form for New Applicants |
Complete personal information and health questionnaire to qualify for an individual health plan |
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Group Insurance Enrolment Form for Employers |
Complete form to enrol your employees |
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Evidence of Insurability Form |
Complete form to tell us about your health prior to adding new benefits or dependents to your existing plan |
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Application for Conversion to Individual Health Plan |
Change coverage to an individual plan from a group plan within 30 days of terminating from the group plan |
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Group Health Employee Data Sheet |
Provide information about employees’ occupations, salaries and selected pertinent dates as well as information regarding Spouse/Dependents |
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Employee Activity Report for Employer |
Complete form to terminate, re-instate or change employee information |
Enrol or Change Your Information |
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Application for Voluntary Life Insurance |
Get additional coverage that you require |
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Change/Confirmation of Beneficiary Form-Group Additional Voluntary Life Insurance |
Make changes to your beneficiary information for your additional life insurance plan |
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Change/Confirmation of Beneficiary Form-Group Life Insurance |
Make changes to your beneficiary information for your group life insurance plan |
File a Claim |
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Short-term Disability Claim Form |
To be completed together by the Employer and Employee |
File a Claim |
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Workers' Compensation Claim Form |
Workers' Compensation/Short-term Disability Claim Form |
Access Your Car & Bike Policies Online |
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Register for Argus Vantage |
Access your car and bike policies online, giving you the flexibility to review and renew your policy, anytime, anywhere. |
File a Claim |
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Motor Vehicle Accident Report |
Tell us about your Motor Accident |
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Motorcycle Theft |
Report your stolen motorcycle |
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Marine Hull |
File a claim |
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General Claim Form (Non-Marine) |
Home Buildings and Content, Commercial Fire, Travel, Public Liability, Construction and Personal Accident |
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Golf Insurance Claim Form |
File a claim |
Proposal Forms |
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Car Insurance Proposal Form |
Apply for car insurance |
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Bike Insurance Proposal Form |
Get your motorbike insured |
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Yacht & Pleasure Craft Proposal Form |
Apply for coverage for your yacht or pleasure craft |
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Home Insurance Proposal Form |
Insurance coverage for your home and property |
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Home Essentials Insurance Proposal Form |
If you are a senior over 60, you can apply for essential coverage of your home and its contents |
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Home Elite Insurance Proposal Form |
Get the coverage you need |
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Golfer’s Insurance Proposal Form |
Apply for coverage |
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Personal Accident Insurance Proposal Form |
Insurance coverage against personal accidents |
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Commercial Motor Insurance Proposal Form |
Get motor vehicle insurance for your business |
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Construction Insurance Proposal Form |
Protect your business from construction-related liability |
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Computer Insurance Proposal Form |
Guard against systems-, equipment- and data-related costs |
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Commercial Property Insurance Proposal Form |
Protect your business with the coverage you need |
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Event Cancellation Proposal Form |
Coverage in the event there is no event |
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Glass Insurance Proposal Form |
Get covered against broken glass and related damages |
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Money Insurance Proposal Form |
Protect your business’ money with our policy |
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Public Liability Proposal Form |
Important coverage against liability costs |
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Theft Insurance Proposal Form |
Financial protection against the costs of theft |
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Travel Insurance Proposal Form |
Protect against the financial impact of unexpected travel mishaps |
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Cargo Insurance Proposal Form |
Tell us about your cargo insurance needs |
National Pension Scheme Amendments |
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Temporary Refund Application - Registered Plan |
Application for a Temporary Refund of up to $12,000 for Bermudians and/or spouses of Bermudian who are under the National Pension Scheme (Occupational Pensions) Act 1998 |
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Temporary Refund Application - Non-Registered Plan |
Application for a Temporary Refund of up to $12,000 for work permit holders who participate in a Non-Registered Pension Plan |
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Suspension of Contributions Member Form |
Member application for temporary modifications to the requirements of the Act to allow for partial or full suspension of contributions under the National Pension Scheme (Refund) (Temporary) Regulations 2020 |
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Suspension of Contributions Employer Form |
Employer application for temporary modifications to the requirements of the Act to allow for partial or full suspension of contributions under the National Pension Scheme (Refund) (Temporary) Regulations 2020 |
Access Your Pensions Information Online |
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Register for Argus Vantage |
Access your pension benefits anywhere, any time. View statements and contributions, look over your account history, and make changes to your investment election and beneficiaries, easily. |
Individual Retirement |
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Individual Retirement Plan Application |
Terminating from your Employer’s plan, open this plan to save for your retirement |
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Investment Strategy Questionnaire for Individuals |
Need help determining which investment strategy best suits your needs? |
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Individual Retirement Plan Change & Withdrawal Form |
Update your information, change your investment options, update your beneficiary information or make a withdrawal |
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Individual Retirement Plan Termination Form |
Terminate or transfer your existing Individual plan |
Tax Compliance |
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Request for Taxpayer Identification Number and Certification |
Tax ID Number & Certification Form to confirm US tax status (W-9 form) |
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Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individuals) |
Important reporting to confirm non-US tax status (W-8BEN form) |
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US UK FATCA Entity Form AILBL |
Foreign Account Tax Compliance Act FATCA |
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US UK FATCA Entity Form AILIL |
Foreign Account Tax Compliance Act FATCA |
Enrol or Change Your Information |
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Member Enrollment Form Argus Select Funds |
Complete form to enroll in your new Employer pension plan |
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Member Contact Information |
Update your contact information |
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Name Change Form |
Has your name changed? Let us know |
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Member Change Form |
Make changes to your investment election or beneficiary details |
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Notification of Termination |
Terminate or transfer your employee from existing group plan |
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Voluntary Contribution Authorization Form |
Authorize, update or terminate a voluntary contribution |
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Voluntary Contribution Withdrawal Form |
Make a withdrawal from your voluntary contributions |
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Member Enrollment Form Argus Self-Directed Funds |
Complete form to enroll in your new Employer pension plan |
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Change of Beneficiary |
Update the beneficiaries of your plan benefits payable |