How To Enrol In An Aquilian Benefits PHSP?

Follow this simple 4-step process:

1. Download the Enrolment Form. If you have additional employees other than yourself you should also download Appendix A. Click on these links to download the forms.
2. Print off and fill out the form(s). Be sure to sign it. This is your Third-Party Contract of health benefit coverage. If required, use Appendix A to list the names of your Covered Employees.
3. Enclose a cheque drawn on your business bank account in Canada for the $100 Enrolment Fee made payable to Aquilian Benefits Corporation.
4. Mail the forms and cheque to:

   Aquilian Benefits Corporation
   2189 6th Concession Road
   Uxbridge, ON L9P 1R4

You may wish to submit your first claim along with your enrolment application. We will open your account and adjudicate your claim at the same time. We are committed to responding to your contract and payment within 5 business days of receiving your claim. You can download Claim Forms here.

You will need Adobe Acrobat Reader to open these files. If you do not have it installed on your computer, you can download a free copy by clicking the button below:

Contact

Postal address:
Aquilian Benefits Corp.
2189 6th Concession Rd.
Uxbridge, ON L9P 1R4

Telephone:
(647) 333-7229

Email:
info@aquilian.ca

Web:
www.aquilian.ca