The CCCC office will be closed on Tuesday, June 9, 2026 and Wednesday, June 10, 2026. Normal work hours will resume Thursday, June 11, 2026.

Group Health Quote Request

Interested in the CCCC Healthcare Spending Account plan addition?
Request an Illustration Today!

Organization Information











Employees

Please do not list family members; only full-time employees (minimum 20 hours per week, 15 in SK)

Employee Date of
Birth
(dd/mm/yyyy) 		Marital
Status		 # of
Dependant
Children		 Status in
Canada		 Hours/
Week?		 Base Earnings
(Year, Month, Week)

This Page URL - https://www.cccc.org/forms_group_health_quote