The CCCC office will be closed Tuesday, July 1, 2025 for Canada Day. Normal work hours will resume on Wednesday, July 2, 2025.

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

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