Contact an insurance broker

Certain Blue Cross products are available only through a licensed insurance broker.

Please complete the form below; an authorized broker will contact you with information on our products and services:
(*) Fields with an asterisk must be completed.

First name *

Last name *

E-mail *

Birthday *

Address

Address *

City *

Postal Code *

Province *

Phones

Telephone *

Extension no.

Other telephone

Extension no.

Please indicate the best time to contact you:

Day Evening

I am interested in information on:

I am interested in information on the following insurance products:

Accident insurance Critical illness insurance Disability insurance Life insurance Long-term care insurance Mortgage insurance Other insurance products (please specify in the comments/questions box)

Comments/Questions

No medical exam required
Excellent rates
Pioneer in the field of health insurance with over 70 years of experience
Friendly service from experienced agents who can answer your questions and assist you when needed
Exclusive access to our members-only assistance program
Coverage that can be customized to meet your specific needs
Discounts and savings with our one-of-a-kind Blue Advantage program

Health insurance quote