Life insurance & employee benefits

Request a life or benefits quote

Tell us who to contact and what you would like to discuss. We’ll connect your enquiry with the appropriate licensed adviser.

Fields marked * are required. Please do not include payment-card information.

Your contact details

Full name Email

Telephone Preferred contact method

Province or territory

What would you like a quote for?

Type of quote

Life insurance amount to discuss OptionalFor a life insurance enquiry. Leave blank if you are requesting benefits only.Desired start or renewal date OptionalLeave blank if you are still exploring.

Your current coverage Optional

About your employee benefits plan

If you are asking about an employer plan, these optional details help us prepare.

Company or organization Optional

Approximate number of employees OptionalMain benefits priority Optional

Anything you would like us to know? OptionalTell us about your goals, preferred time to call or questions. Do not include medical details, a Social Insurance Number or employee records.

I consent to CIBI using this information to respond to my request and for the insurance purposes described in the privacy policy.

Submitting a request does not bind, change or cancel insurance. Coverage must be confirmed by CIBI.