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DIRECT DEPOSIT NO PAPER. NO WORRIES. (Desjardins Insurace)

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16009E02 (16-02)
DIRECT DEPOSIT – HEALTHCARE BENEFIT REIMBURSEMENTS
Plan member’s first and last name:
Email (mandatory):
Policy/group/contract no.:
Certificate no.:
When you sign up for direct deposit, your reimbursements are deposited directly in your bank
account, and you get email notifications as soon as your healthcare claims have been processed.
Please enclose a “VOID” cheque with this insert.
Plan member’s signature: Date:
SEND TO: Desjardins Insurance, PO Box 3950, Lévis QC G6V 8C6.
DIRECT DEPOSIT
NO PAPER. NO WORRIES.
• Get your reimbursements faster, and have them
deposited directly in your bank account.
• Get email notifications as soon as your claims
are processed, and your explanations of benefits will
be saved on the secure site, rather than sent by mail.
• Submit claims online or using the Claim 360°
mobile app.
• Say goodbye to piles of paper!
Desjardins Insurance refers to Desjardins
Financial Security Life Assurance Company.
This document is printed on Rolland Enviro paper.
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DIRECT DEPOSIT NO PAPER. NO WORRIES. (Desjardins Insurace)

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Completed 9 February 2021

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