gps enroll page - Ogilvy Insurance

Personal details

Name*

First Last

Email*

Enter Email Confirm Email

Cell Phone*

1. Do you understand English and/or French?*

Yes
No

2. Are you a Quebec resident?*

Yes
No

Is this insurance replacing or modifying any existing or pending individual disability insurance?*

Yes
No

3. Is your primary occupation a Truck Driver?*

Yes
No

4. Is your business Incorporated?*

Yes
No

5. Are you an Owner Operator and able to opt out of your provincial Workers Compensation Plan?*

Yes
No

6. Are you currently working a minimum of 20 hours per week, 35 weeks per year?*

Yes
No

7. Are you a Canadian citizen or have you been granted Permanent Resident (landed immigrant) status by the Canadian Government?*

Yes
No

8. Do you have any ongoing restrictions or limitations to your bodily movements or daily activities as a result of an injury or other conditions?*

Yes
No

9. Are you between the ages of 18 and 65?*

Yes
No

DO YOU QUALIFY?

BASED ON YOUR RESPONSES, YOU DO NOT QUALIFY FOR THE PROGRAM. Please review your answers or contact us for more information. Email us at OwnerOperator@ogilvy.ca

Enroll into the program today

Personal details