Fédération interprofessionnelle de la santé du Québec (FIQ)
Welcome to all members.
Employees
Evidence of Insurability
Authorization for the disclosure of medical information
Designation of beneficiary
Application for direct deposit of benefits
Claim Form - Health Insurance
Claim Form - Dental Care
Request for authorization - Generic substitution exception
List of drugs requiring prior authorization
Prior authorization forms for prescription drugs
Application for long term Disability Insurance Benefits:
Insured's Declaration (FIQ)
Attending Physician's Declaration (FIQ)
Employer's Declaration (FIQ)
Application for extension long term Disability Insurance (FIQ)
Schedule of coverage as of April 1, 2024 (FIQ)
Schedule of coverage as of April 1, 2023 (FIQ)
Rates - April 1, 2024 (FIQ)
Rates - April 1, 2023 (FIQ)
Contract - Administrative version, January 1, 2024 (FIQ)
Retirees
Life Insurance Application for RIIRS members (FIQ)
Health Insurance Application for RIIRS members (FIQ)
Claim Form - Health Insurance
Become a RIIRS member at retirement (FIQ)
Membership Registration form to RIIRS (FIQ)
Information leaflet – Life and Health Insurance for RIIRS members as of May 1, 2024
Information leaflet – Life and Health Insurance for RIIRS members as of May 1, 2023
Application - Perspective Healthcare Insurance
Information Leaflet – Perspective Healthcare Insurance
Rates – Perspective Healthcare Insurance
Direct deposit
To receive accelerated reimbursement of health and dental care claims, you can fill out the Application for Direct Deposit of Benefits (PDF - 1 page).
Mobile app
The Beneva mobile app is a quick and easy way to submit your claims for prescription drugs and medical and paramedical care. Simply add photos of your receipts. And it’s free!
