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Rates and Applications for Medi-Select Advantage by E.T.F.S.

All of the following forms are in printable PDF format. Please print the applicable forms, complete them, and either fax them or mail them to us at the following coordinates:

Ingle International
460 Richmond Street West, Suite 100
Toronto, ON
M5V 1Y1

Fax 416-730-1878
Phone 416-730-8488
Toll-Free Phone 1-866-32-INGLE

Please contact us if you have any questions about the forms or coverage, or to apply by phone.

For more information:

ETFS Brochure (PDF 183 KB)

Be sure to review the policy wording:

ETFS Policy Wording (PDF 134 KB)

Rate Information:

Rate Information (PDF 63 KB)

Canadians, age 54 or under:

54 or under Application Form (PDF 60 KB)

Simply fill out the application form and mail or fax it to us. You will be covered for any pre-existing conditions that have been stable for 180 days (90 days for high blood pressure, 365 days for heart conditions). You may also call us for more information or to apply by phone.

Canadians, age 55 or over:

55 or over Application and Medical Questionnaire (PDF 168 KB)

Begin by filling out the Medical Questionnaire. It will determine which rate category you fall under. If you answer Yes to any question in Part A or B, please contact us to determine the next steps you can take.

You may need to use the following form:

Medical Underwriting (PDF 60 KB)

If you would like to walk through this process with a sales associate over the phone, please call us at 1-866-32-INGLE. Our hours are Mon-Fri 8am-9pm and Sat 9am-5pm, Eastern Standard Time (Ontario & Québec time).