Broker - Income Protection, Pillar Series
Your Advisor Centre
See all our information and sales concepts related to our disability and hospital care insurance.
- Marketing documents
- Forms
- Guides
Income protection products
Pillar Series
- F038 Income protection, customer leaflet (PDF - 6 pages)
Disability
- F020 Disability, leaflet (PDF - 4 pages)
- F030 Disability, At a glance (PDF - 4 pages)
- F032 Disability, customer leaflet (PDF - 6 pages)
Simplified Accident Insurance
- F043 Simplified Accident Insurance, brochure - application (PDF - 10 pages)
- F045 Simplified Accident Insurance, customer flyer (PDF - 2 pages)
Safe Driver
- F026 Safe Driver, At a glance (PDF - 2 pages)
- F028 Safe Driver, leaflet (PDF - 4 pages)
Hospitalization
- F022 Hospital Care, At a glance (PDF - 2 pages)
- F024 Hospital Care, leaflet (PDF - 4 pages)
Administration
- Authorization to Disclose Medical Information (PDF - 1 page)
- Authorization to Disclose Medical Results (PDF - 1 page)
- IND010E Request to Exercise the Future Insurability Option (PDF - 2 pages)
- IND038E Change (PDF - 7 pages)
- IND051E Declarations for Designation or Change of Irrevocable Beneficiary in Nova Scotia (PDF - 1 page)
- IND058E Authorization to Disclose Information to the Advisor or to the General Agent (PDF - 1 page)
- IND137E Reinstatement (PDF - 2 pages)
- IND159E Confirmation of Insurable Risk (PDF - 1 page)
- IND178E Medical Authorization (PDF - 1 page)
Questionnaires
- IND005E Safe Driver (Including All Accident Rider) Declarations of Insurability (PDF - 2 pages)
- IND006E Accident Only Declarations of Insurability (PDF - 3 pages)
- IND007E Accident and Sickness Declarations of Insurability (PDF - 4 pages)
- IND012E Musculoskeletal Disorders Questionnaire (PDF - 3 pages)
- IND013E Back or Neck Disorders Questionnaire (PDF - 3 pages)
- IND014E Respiratory Disorders Questionnaire (PDF - 2 pages)
- IND015E Diabetes Questionnaire (PDF - 3 pages)
- IND017E Psychological Disorders Questionnaire (PDF - 2 pages)
- IND018E Intestinal Disorders Questionnaire (PDF - 2 pages)
- IND020E Driving Record Questionnaire (PDF - 1 page)
- IND021E Drug or Opiate Use Questionnaire (PDF - 2 pages)
- IND023E Indoor and Outdoor Climbing Questionnaire (PDF - 2 pages)
- IND024E Aviation Questionnaire (PDF - 2 pages)
- IND025E Racing Questionnaire (PDF - 1 page)
- IND026E Hang Gliding Questionnaire (PDF - 1 page)
- IND027E Sky Diving Questionnaire (PDF - 1 page)
- IND028E Scuba Diving Questionnaire (PDF - 1 page)
- IND029E Hazardous Sports Questionnaire (PDF - 1 page)
- IND031E Alcohol Use Questionnaire (PDF - 1 page)
- IND032E Travel and Residence Abroad Questionnaire (PDF - 2 pages)
- IND175E Employment and Income Questionnaire (PDF - 2 pages)
Applications
- F002 Income Protection, Pillar Series Application (PDF - 12 pages)
- F041 Advisor Guide -Simplified Accident Insurance - Pillar Series (PDF - 24)
- F043 Simplified Accident Insurance Client Brochure and Application (PDF - 10 pages)
- F3003 Safe Driver Application (PDF - 4 pages)
- IND143E Personal Needs Analysis for Accident and Sickness Insurance (PDF - 2 pages)
Claims
- ZSA-3455 Claim Form (PDF - 6 pages)
- F004 Pillar Series Advisor Guide (PDF - 24 pages)
- F041 Simplified Accident Insurance Advisor Guide (PDF - 24 pages)
- Pillar Series and Simplified Accident Insurance Occupation Guide (PDF - 11 pages)
Contact our team
Brokerage Channel - Ontario and
Western Canada
7150 Derrycrest Drive
Mississauga Ontario L5W 0E5
Tel.: 1 855 795-2318 ext 55091
sales.support@lacapitale.com
Life Insurance & Living Benefits
Income Protection, Pillar Series
Jason Allen
Sales Director
Ontario & Western Canada
Toll free: 1 855 407-6509
Tel.: 905 795-2300 ext 55358
jason.allen@lacapitale.com
Isabelle Gauvreau
Sales Director
Quebec & Atlantic
Income Protection, Pillar Series
Toll free: 1 855 252-1578
Tel.: 418 573-8153
isabelle.gauvreau@lacapitale.com
Claudia Pilon
Sales Director
Quebec & Atlantic
Income Protection, Pillar Series
Toll free: 1 855 431-7945
Tel.: 514 226-6556
claudia.pilon@lacapitale.com
Savings & Investments
Jennifer Santos
Sales Director
Ontario & Western Canada
Toll free: 1 800 605-5536
Tel.: 416 819-4451
jennifer.santos@lacapitale.com
Andrew Gardiner
Sales Director
Ontario & Western Canada
Toll free: 1 833 570-8342
Tel.: 416 570-8342
andrew.gardiner@lacapitale.com
Simone Kirouac
Sales Director
Quebec & Atlantic
Toll free: 1 855 878-7197
Tel.: 514 809-5743
simon.kirouac@lacapitale.com
Martin-Charles Ranallo
Sales Director
Quebec & Atlantic
Toll free: 1 844 764-3767
Tel.: 514 214-4476
martin-charles.ranallo
@lacapitale.com
Broker’s support
Joe Gallo
Sales Coordinator
Ontario & Western Canada
Toll free: 1 800 268-2835
Tel.: 905 795-2300 ext 55091
joe.gallo@lacapitale.com
Simon Kirouac
Associate Director of Sales
Quebec & Atlantic
Toll free: 1 866 867-9296
Tel.: 418 528-2177
simon.kirouac@lacapitale.com
Support Line
Tel.: 1 888 392-2583