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Extensions

An Extension is a request for a continuation of coverage. Coverage must be continuous in order to be considered an 'Extension' which means you can have no breaks in coverage. If there are breaks in coverage, your application will be considered a New Application.

  • Please send us your request for an Extension of coverage in writing at least one week before the End Date of your existing coverage
  • Include your previous policy number
  • Complete the Application in full so that we are able to process your request
  • Note: all Extension requests are subject to approval by the Plan Administrator and/or insurer
  • Once your Application for Extension and payment have been processed we will notify you by fax or email, then mail your ID Card and Policy package to the address you provide on your Application form.

Send your Extension request by fax - Download the PDF Extension Application Form (COMING SOON)

Send your Extension request online - Fill out the online Extension Application Form.


 
 
 

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