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RTIP Application Form


There are five easy steps to get the protection you need.

  • All fields are mandatory.
  • You may use the back button at anytime to make changes.
  • If you close your browser, you will need to start again.

  Before you begin

Please have the following information available to assist you with the application process:

  • Personal information
  • Banking details
  • Social Insurance Number for automatic Ontario Teachers' Pension Plan Board deduction
  • Spouse/depandent (if applicable)
  • Dependant education information (if eligible dependent student is 21 and over)
  • Current insurance plan information (Name of Insurance Company; Policy/Group Number; ID/Certificate Number, if applicable)

 
 
 
 
 
 

   Select a plan

Choose the plan that's right for you. (Select one)

 

RTIP Gold 750

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RTIP Gold 2500

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RTIP Plus 4000

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Do you need dental coverage?

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