Please ensure that, prior to applying for coverage, you review the CPA Select Insurance Plans coverage options and read the "Terms and Conditions" on your application form.Links to the individual online product applications are also provided below.
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Application for Term Life, Personal Accident & Child Life & Accident Insurance - Print Form
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Application for Income Protection & Office Overhead Expense Insurance - Print Form
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Application for Critical Illness Insurance - Print Form
- Application for Health & Dental Insurance
- Print Form
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Future Insurability Option (Term Life) Application
- Print Form
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Future Insurability Option (Income Protection) Application
- Print Form
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Non-Smoker Rates Application
To be eligible, you must not have used tobacco or tobacco cessation products for the last 12 months (or longer)
- Print Form
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Changing Your BeneficiaryWritten request is required
- Print Form
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Changing Your Name
Change the name under which you are covered to correspond with a change in your legal name
- Print Form
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Term Life, Personal Accident & Child Life & Accident Insurance
- View Brochure
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Income Protection and Office Overhead Expense Insurance
- View Brochure
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Critical Illness Insurance
- View Brochure
- Health & Dental Insurance
- View Brochure
- Life Insurance can make sense even when you're young and single
- Learn more
- Term life insurance vs. traditional mortgage insurance
- Learn more
- Is your employer-provided life insurance coverage enough?
- Learn more
- Maximize your protection with CPA Select* Income Protection Insurance
- Learn more