Life and Benefits Questionnaire

PROLINK's Life and Health Insurance Questionnaire

As an independent brokerage, we have access to multiple insurance providers and can survey the marketplace to bring you solutions to best fit your needs and your budget. Our plans offer Extended Health, Dental, Disability, Critical Illness, and Life Insurance  and will provide you with the long term protection you and those you care about will need.



Please note that all information provided on this form will only be used for quotation purposes and otherwise will be held confidential by PROLINK.

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PROLINK-Canada's Insurance Connection all rights reserved © 2018
"PROLINK" and "PROLINK-Canada's Insurance Connection" are trade names for PROLINK Insurance Group Inc., and le Groupe d'Assurances PROLINK Inc.