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Home > For Retirees > RTIP Application Form

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)

Do you need dental coverage? Yes No

RTIP Application Form

Before you begin

Select a plan

RTIP Gold 750

RTIP Gold 2500

RTIP Plus 4000