February 23, 2012

Insurance

To be eligible to enrol in the COSA Benefits Program, you MUST have an Ontario address and an OHIP card.

All Forms are Printable and should be returned to the COSA Office, unless otherwise indicated.

Annual Eligibility Check Form for Grooms

Benefits Enrolment Form

Benefits Summary

Evidence of Insurability ( Only Needed for Owners, Trainers Drivers and Tradespersons)

Medical Expenses Claim Form

Request for Pre-Authorized Payment (Only for Owners, Trainers, Drivers and Tradespersons)

Benefits Coverage Booklet

Out-of-Province/ Canada Travel Insurance Coverage

**Please Note: Benefits coverage and Travel Insurance Coverage are only available to grooms and members who have enrolled in the COSA Benefits Plan.

Request for Direct Deposit of Benefits Cheques

Change of Record (Address, Status, Etc.)