Forms for Insurance, Investments, and More | The Argus Group - Argus Bermuda
File a Claim |
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Workers' Compensation Claim Form | |
Workers' Compensation/Short-term Disability Claim Form |
Admin Forms |
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Application for Workers' Compensation | |
Application for Workers' Compensation and Employer's Liability Insurance |
File a Claim |
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Health Claims Reimbursement Form | |
Submit your health or dental claims online through Argus Vantage. You will be required to register if you do not yet have an Argus Vantage account. |
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Dental Claim Form | |
Download the dental claim form and have your dental practice complete and sign it. Next, submit your claim along with this form online through Argus Vantage so we can reimburse you. |
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Health Claims Reimbursement Guidelines | |
What you need to know when filing a health or dental claim. |
Access Your Health Information Online |
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Register for Argus Vantage | |
Complete the registration form to manage and access your health information 24/7, view benefits, submit claims online and print ID cards. |
Change Coverage or Information |
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Student Status Form | |
If your dependent child (19 - 26 years) is in school, fill this form to confirm student status |
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Change of Information Form for Individual Coverage | |
Change benefit or dependent status or let us know about a name change |
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Change of Information Form for Group Coverage | |
Update your coverage or dependent status or let us know about a name change |
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Policy Termination Form for Individual Health | |
End coverage for members on individual plans |
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Third-party Authorisation Form | |
Grant a third-party access to your group or individual health records for the purpose of evaluating and administering claims and ongoing eligibility. |
Enrol in a Plan |
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Individual Health Form for New Applicants | |
Complete personal information and health questionnaire to qualify for an individual health plan |
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Group Insurance Enrolment Form for Employers | |
Complete form to enrol your employees |
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Evidence of Insurability Form | |
Complete form to tell us about your health prior to adding new benefits or dependents to your existing plan |
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Application for Conversion to Individual Health Plan | |
Change coverage to an individual plan from a group plan within 30 days of terminating from the group plan |
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Group Health Employee Data Sheet | |
Provide information about employees’ occupations, salaries and selected pertinent dates as well as information regarding Spouse/Dependents |
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Employee Activity Report for Employer | |
Complete form to terminate, re-instate or change employee information |
Provider |
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Electronic Funds Transfer Authorization Agreement Form | |
Use this form to automatically receive your Argus Health Payments directly to your preferred Bank Account. |
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Specialty Drug Coverage Request Form | |
Download the specialty drug coverage request form and have your physician complete and sign it. Please use a separate form for each drug. |
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Portal Request Form | |
Only for local providers |
Access Your Pensions Information Online |
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Register for Argus Vantage | |
Access your pension benefits anywhere, any time. View statements and contributions, look over your account history, and make changes to your investment election and beneficiaries, easily. |
Individual Retirement |
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Individual Retirement Plan Application | |
Terminating from your Employer’s plan, open this plan to save for your retirement |
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Investment Strategy Questionnaire for Individuals | |
Need help determining which investment strategy best suits your needs? |
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Individual Retirement Plan Change & Withdrawal Form | |
Update your information, change your investment options, update your beneficiary information or make a withdrawal |
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Individual Retirement Plan Termination Form | |
Terminate or transfer your existing Individual plan |
Enroll or Change Your Information |
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Member Enrollment Form Argus Select Funds | |
Complete form to enroll in your new Employer pension plan |
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Member Contact Information | |
Update your contact information |
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Name Change Form | |
Has your name changed? Let us know |
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Member Change Form | |
Make changes to your investment election or beneficiary details |
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Notification of Termination | |
Terminate or transfer your employee from existing group plan |
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Voluntary Contribution Authorization Form | |
Authorize, update or terminate a voluntary contribution |
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Voluntary Contribution Withdrawal Form | |
Make a withdrawal from your voluntary contributions |
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Member Enrollment Form Argus Self-Directed Funds | |
Complete form to enroll in your new Employer pension plan |
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Change of Beneficiary | |
Update the beneficiaries of your plan benefits payable |
Access Your Car & Bike Policies Online |
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Register for Argus Vantage | |
Access your car and bike policies online, giving you the flexibility to review and renew your policy, anytime, anywhere. |
File a Claim |
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Yacht & Pleasure Craft Claim Form | |
File a claim about your yacht or pleasure craft |
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Golfer’s Insurance Claim Form | |
File a claim about loss or damage in connection with Golf |
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Motor Accident Report Form | |
Tell us about your Motor Accident |
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Motor Vehicle Theft Claim Form | |
Report your stolen motor vehicle |
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Personal Lines Claim Form | |
File a claim about your personal property being destroyed, damaged, lost or stolen |
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Hurricane Claim Form | |
File a claim about loss or damage in connection with a Hurricane |
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Preliminary Report | |
Tell us more about your claim |
Proposal Forms |
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Car Insurance Application | |
Get your car insured |
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Bike Insurance Application | |
Get your motorbike insured |
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Home Insurance Application | |
Insurance coverage for your home and contents |
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Home Essentials Insurance Application | |
If you are a senior over 60, you can apply for essential coverage of your home and its contents |
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Home Elite Insurance Application | |
Cover for high value homes, with travel, golf and personal watercraft included |
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Personal Accident Insurance Proposal Form | |
Get insurance coverage against personal accidents |
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Golfer’s Insurance Proposal Form | |
Apply for coverage in connection with Golf |
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Commercial Motor Insurance Proposal Form | |
Get motor vehicle insurance for your business |
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Construction Insurance Proposal Form | |
Protect your business from construction-related liability |
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Computer Insurance Proposal Form | |
Guard against systems-, equipment- and data-related costs |
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Commercial Property/Business Interruption Insurance Proposal Form | |
Protect your business with the coverage you need |
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Event Cancellation Insurance Proposal Form | |
Coverage in the event there is no event |
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Glass Insurance Proposal Form | |
Get covered against broken glass and related damages |
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Money Insurance Proposal Form | |
Protect your business’ money with our policy |
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Public Liability Insurance Proposal Form | |
Important coverage against liability costs |
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Theft Insurance Proposal Form | |
Financial protection against the costs of theft |
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Travel Insurance Application | |
Protect against the financial impact of unexpected travel mishaps |
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Cargo Insurance Proposal Form | |
Tell us about your cargo insurance needs |
Admin Forms |
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Annual Travel Policy Declaration | |
Declaration required for some annual travel insurance policies |
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Cancellation Request Form | |
Cancel a policy by completing this form |
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Changes to your Insurance | |
Make changes to an existing policy |
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Contents Sum Insured Guide | |
Calculate your contents insurance needs |
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Hole in One Policy | |
Cover for golf tournament organizers/sponsors |
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Information Verification | |
Verify your information to ensure it is correct |
Enrol or Change Your Information |
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Application for Voluntary Life Insurance | |
Get additional coverage that you require |
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Change/Confirmation of Beneficiary Form-Group Additional Voluntary Life Insurance | |
Make changes to your beneficiary information for your additional life insurance plan |
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Change/Confirmation of Beneficiary Form-Group Life Insurance | |
Make changes to your beneficiary information for your group life insurance plan |
File a Claim |
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Short-term Disability Claim Form | |
To be completed together by the Employer and Employee |