How To Apply

Application Process For Your Own Self-Directed Benefit Plan TM
Congratulations on deciding to launch your own Private Health Services Plan!

What we need from you is some information on your business (such as name, address, email, contact person, etc.) and your decisions on what health and dental benefits to cover in your own plan and who is eligible under your plan. The Employer Form gives us this information.

You do not need to send any money in right now. We will take your information and use it to prepare your
Benefit Plan Text , which is the official document that describes your plan. We will also issue to your a PHSP Administration Agreement , which outlines the contractual arrangement between your business and Bene-D-Duct.

Once we have prepared all the documents we will mail to you two signed copies of the PHSP Administration Agreement, which incorporates a copy of your Benefit Plan Text. You should sign both copies and return one to Bene-D-Duct along with an Initial Contribution.

We also need information regarding your employees (including yourself) and their family members, so that we know who is eligible for benefits. You should send this to us no later than when you return the signed PHSP Administration Agreement and the Initial Contribution. If we don't have the employee information then we cannot issue benefit cheques to them. The Employee Form gives us this information. We will confirm the receipt of an Employee Form with the contact person at your business.
 
 
 
Application Forms For Your Own Self-Directed Benefit Plan TM
There are three ways to obtain the Employer or Employee Forms: 1)  Complete and submit the online forms. We will confirm by return email the data that we received from you.

Click here for the appropriate online form.
Employer Form Employee Form
 
 
2)  Download and print a paper version of the form using the Adobe Reader. Complete the paper form and send it to Bene-D-Duct via mail, courier or fax. The form has our address and fax number on it or click on Contact Information to obtain them.

Click here for the appropriate downloaded Adobe form.
Adobe Employer Form Adobe Employee Form
 
 
If you don't have a copy of the Adobe Reader a free copy can be downloaded by clicking www.adobe.com

3)  Call Bene-D-Duct at (416) 223-1408 in the Toronto region, or toll-free at 1-877-625-1990. We can mail a form to you for your completion, or we can even take the employer information over the phone and we will send you both the completed form and the PHSP Administration Agreement for your signature, with a supply of employee forms.

No matter which way you send us your application we will proceed to issue to you the final documents needed to get your own
Self-Directed Benefit Plan TM   running and saving you money! If we have any questions we will get in touch with you.

Employee additions, changes, or deletions will be confirmed to the Contact Person at your business.
Next PageRequired Proof


Glossary FAQ Contact Us Company Profile



Site developed by Susan Chen Associates
Bene-D-Duct Logo
Site Map Concepts Overview Who Qualifies What's Covered Tax Aspects Self Directed vs Insured Plan Employee Considerations Operational Details Contractual Arrangements Contributions Reimbursement Cheques Quarterly Reports & Tax Receipts Employee Changes Administrative Fees Case Studies Case 1 Calculators Tax Savings Benefit Estimator How To Apply Plan Set Up Forms Download Making Claims Required Proof How To Submit Claims Bene-D-Duct Logo
cement tongue 5s jordan 5 cement tongue cement tongue 5s cement tongue 5s cement tongue 5s space jam 5s low bred 11s cement tongue 5s cement tongue 5s space jam 5s low bred 11s jordan 5 space jam jordan 5 cement tongue space jam 5s cement tongue 5s jordan 5 space jam space jam 5s jordan 5 cement tongue jordan 5 cement tongue jordan 5 cement tongue low bred 13s jordan 11 low citrus jordan 13 low bred jordan 13 low bred low citrus 11s low bred 13s low bred 13s low bred 13s jordan 11 low citrus low bred 13s low citrus 11s low bred 13s Jordan retro 11 jordan 11 low citrus jordan 11 low citrus low bred 13s low citrus 11s jordan 11 low citrus jordan 11 low citrus Jordan retro 11 jordan 5 cement tongue jordan 11 low bred jordan 5 cement tongue jordan 5 space jam jordan 5 cement tongue space jam 5s low bred 11s space jam 5s space jam 5s low bred 11s jordan 5 space jam low bred 11s low bred 11s jordan 5 cement tongue low bred 11s jordan 5 cement tongue space jam 5s jordan 11 low bred low bred 11s low bred 11s jordan 11 low citrus Jordan retro 11 Jordan retro 11 low bred 13s jordan 11 low citrus jordan 13 low bred jordan 13 low bred jordan 11 low citrus low citrus 11s jordan 11 low citrus jordan 13 low bred jordan 5 space jam jordan 5 space jam jordan 13 low bred Jordan retro 11 Jordan retro 11 low bred 13s Jordan retro 11 Jordan retro 11 jordan 13 low bred Tom Brady Jersey foamposites mirror foamposites aqua laster 4s Tom Brady Jersey jordan 3 lebron 12 all star ftlog 7s jordan 7 for the love of the game jordan 4 teal patriots super bowl jersey jordan 10 bulls over broadway nike kd vii wings Russell Wilson Jersey Tom Brady Jersey women's lebron 12 court vision Tom Brady Jersey women's jordan 4 teal marvin the martian 7s lebron 12 all star teal 4s laster 4s New England Patriots Jersey Tom Brady Jersey women's oreo 4s oreo 4s for the love of the game 7s jordan 10 chicago Patriots Jersey bulls over broadway 10s foamposites dark obsidian lebron 12 court vision foamposites metallic gold jordan 7 ftlog jordan 3 Tom Brady Jersey ftlog 7s lady liberty 10s jordan 10 lady liberty foamposites aqua jordan 7 marvin the martian lebron 12 all star foamposites metallic gold michael kors bags lebron 12 court vision jordan 7 ftlog jordan 10 chicago laster 4s for the love of the game 7s jordan 4 teal marvin the martian 7s New England Patriots jersey sale foamposites metallic gold jordan 10 chicago nike free run bulls over broadway 10s New England Patriots foamposites red october jordan 4 oreo Seahawks Jerseys lebron 12 court vision foamposites mirror foamposites all star jordan 7 marvin the martian lebron 12 all star Tom Brady Jersey jordan 10 lady liberty jordan 10 bulls over broadway New England Patriots jersey louis vuitton outlet New England Patriots Jersey patriots super bowl jersey jordan 7 marvin the martian nike kd vii wings jordan 5 metallic silver foamposites all star foamposites all star foamposites dark obsidian lebron 12 all star Tom Brady Jersey Patriots Jersey chicago 10s jordan 10 bulls over broadway New England Patriots Jersey cheap jordan 4 laster jordan 10 chicago jordan 7 marvin the martian nike kd 7 wings foamposites metallic gold louis vuitton outlet oreo 4s teal 4s for the love of the game 7s Tom Brady Jersey women's foamposites aqua oreo 4s foamposites aqua foamposites metallic gold foamposites aqua foamposites mirror metallic silver 5s laster 4s jordan 4 laster foamposites red october jordan 7 marvin the martian oreo 4s foamposites metallic gold jordan 4 teal michael kors Tom Brady Jersey oreo 4s for the love of the game 7s laster 4s ftlog 7s Tom Brady Jersey Tom Brady Jersey women's Tom Brady Jersey women's jordan 3 chicago 10s jordan 5 metallic silver foamposites metallic gold foamposites all star louis vuitton outlet jordan 7 marvin the martian jordan retro 3 louis vuitton outlet foamposites metallic gold New England Patriots Jersey teal 4s jordan 10 chicago oreo 4s lebron 12 court vision New England Patriots Jersey oreo 4s Rob Gronkowski Jersey jordan 5 metallic silver lady liberty 10s New England Patriots Jersey lebron 12 all star jordan 5 metallic silver marvin the martian 7s chicago 10s nike free run foamposites red october metallic silver 5s foamposites dark obsidian foamposites mirror jordan 4 teal louis vuitton outlet louis vuitton outlet jordan 4 teal chicago 10s jordan 4 oreo louis vuitton outlet New England Patriots patriots super bowl jersey nike kd 7 aunt pearl jordan retro 3 teal 4s bulls over broadway 10s jordan retro 7 legend blue 11s jordan retro 7 canada goose canada goose jordan retro 7 jordan retro 11 canada goose outlet retro jordans canada goose outlet retro jordans canada goose outlet legend blue 11s Michael Kors outlet legend blue 11s retro jordans beats by dre cheap Michael Kors outlet Michael Kors outlet jordan retro 7 beats by dre cheap uggs outlet coach outlet jordan retro 12 louis vuitton sac nike air max beats by dre cheap coach outlet jordan retro 12 louis vuitton sac nike free run nike free run nike air max beats by dre cheap jordan retro 12 moncler jackets jordan retro 12 nike air max louis vuitton outlet louis vuitton outlet Michael Kors outlet jordan retro 11 legend blue 11s jordan retro 7 canada goose outlet beats by dre cheap jordan retro 11 jordan retro 7 air jordans canada goose outlet nike nike nike legend blue 11s canada goose outlet Michael Kors outlet canada goose outlet jordan retro 7 Michael Kors outlet Michael Kors outlet uggs outlet moncler jackets moncler jackets jordan 12 louis vuitton outlet coach outlet beats by dre cheap louis vuitton outlet jordan retro 12 uggs louis vuitton outlet jordan retro 12 uggs outlet louis vuitton outlet nike air max jordan retro 12 moncler jackets jordan retro 12 beats by dre cheap moncler jackets jordan 11 legend blue jordan 11 jordan 11 jordan retro 11 jordan 11 jordan retro 11 jordan 11 jordan retro 4 louis vuitton outlet jordan retro 4 jordan 11 louis vuitton outlet french blue 7s jordan retro 11 uggs on sale jordan retro 13 louis vuitton outlet michael kors outlet louis vuitton jordan 4 michael kors outlet canada goose outlet michael kors outlet michael kors outlet michael kors outlet michael kors outlet canada goose sale jordan 10 red cements jordan retro 4 michael kors outlet red cements 10s jordan retro 11 louis vuitton outlet louis vuitton outlet canada goose outlet air jordan 4 michael kors outlet louis vuitton outlet michael kors outlet louis vuitton outlet jordan 11 air jordan 4 louis vuitton outlet louis vuitton outlet jordan 4 air jordans jordan retro 11 louis vuitton outlet jordan 11 jordan 11 jordan 11 legend blue louis vuitton outlet jordan retro 13 air jordans jordan retro 11 louis vuitton outlet michael kors outlet legend blue 11s michael kors outlet jordan 11 legend blue uggs outlet louis vuitton outlet oreo 4s legend blue 11s louis vuitton outlet air jordans french blue 7s red cements 10s uggs outlet jordan retro 11 jordan 11 jordan 7 french blue uggs outlet jordan 4 jordan retro 4 oreo 4s canada goose sale jordan retro 4 jordan 7 french blue jordan retro 4