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Get a Quote - Steps 2 & 3

Step 1
Complete the Contact Information online form on this page back
Step 2
Download and complete the applicable Benefit Plan Option Sheet start
Step 3
Download and complete the Employee Data Sheet start
Step 4
Fax the completed sheets from Steps 2 & 3 to the KFG office start

Step 2 - Download Applicable Benefit Plan Option Sheet

 

If you have 1-4 employees in your company or organization, click on the PDF link below:

1-4 Employees

 
 

If you have 5+ employees in your company or organization, click on the PDF link below:

5+ Employees

 


Note:
You will need the free Acrobat Reader installed on your computer to view the file.

If you do not have the Acrobat Reader, please begin the installation process by clicking on the Acrobat Reader icon below, or by clicking here. Please ensure that you complete the FULL installation process before you download the PDF file above.


Step 3 - Download the Employee Data Sheet

 

To download the Employee Data Sheet, click on the PDF link below:

Employee Data Sheet

 


Note:
You will need the free Acrobat Reader installed on your computer to view the file.

If you do not have the Acrobat Reader, please begin the installation process by clicking on the Acrobat Reader icon below, or by clicking here. Please ensure that you complete the FULL installation process before you download the PDF file above.


Step 4 - Fax the Completed Sheets to KFG

Please fax the completed forms to the KFG office using the contact information listed below.

A KFG Representative will contact you within 48 hours of submitting your information.

Thank you.

 

 


Download your dental claim forms online.

» begin



Download your health claim forms online.

» begin



Download your enrollment forms online.

» begin



Download your enrollment forms online.

» begin

 

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Kechnie Benefits
(A Division of Kechnie Health & Wealth Management Inc.)
262 Queen Street South, 2nd Floor
Kitchener, ON N2G 1W3
Phone: 519.571.2020
Toll-Free: 866.710.7080
Fax: 519.571.2424
email: info@kechnie.com

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