Contract Employees

Contract Employees As a contract employee or independent professional you can enjoy more control and freedom over how and where you work. However, you have also now joined the millions of Canadians without an employer group health plan and are exposed to threat of the costs of unforeseen medical events.

At Optimal Benefits, we specialize in creating unique benefit plans for contract employees and their families.
Please complete the information below and we will be happy to get started on the process of putting together your complimentary benefits proposal.

Employee details

Your Name:

Date of Birth:

Contact E-mail:

Contact Phone:

Do you smoke? Yes No

Company name

Your occupation

Gross Annual Income

Net Annual Income
(after expenses & before taxes)

Current Coverage

Current coverage in place? Yes No

Current Contract (if applicable)

Length of Current Contract
(if applicable)

Spouse & Dependants

Spouse's Name

Spouse's Date of Birth:

Dependant(s)

Dependant(s) Date of Birth:

Additional Info

Best Time to Call:

Additional Info:

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