{"id":3525,"date":"2023-03-23T19:43:30","date_gmt":"2023-03-23T23:43:30","guid":{"rendered":"https:\/\/dev.claimsecure.com\/formulaires\/"},"modified":"2025-08-25T17:08:03","modified_gmt":"2025-08-25T21:08:03","slug":"formulaires","status":"publish","type":"page","link":"https:\/\/www.claimsecure.com\/fr\/formulaires\/","title":{"rendered":"Formulaires et documents"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3525\" class=\"elementor elementor-3525 elementor-36\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-85e2c00 e-flex e-con-boxed e-con e-parent\" data-id=\"85e2c00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a54ab7e elementor-widget elementor-widget-heading\" data-id=\"a54ab7e\" data-element_type=\"widget\" data-e-type=\"widget\" role=\"heading\" aria-label=\"Forms &amp; Documents\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Formulaires et documents<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cef4c30 e-flex e-con-boxed e-con e-parent\" data-id=\"cef4c30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b623939 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"b623939\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Trouvez rapidement et facilement tous les formulaires dont vous avez besoin sur cette page. Parcourez la liste des formulaires et documents ci-dessous ou effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous. Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en cliquant sur le lien de t\u00e9l\u00e9chargement.<\/p><p><strong>Parcourez la liste des formulaires et documents ci-dessous effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e27026 elementor-tabs-alignment-stretch elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"5e27026\" data-element_type=\"widget\" data-e-type=\"widget\" tabindex=\"0\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-9871\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-9871\" aria-expanded=\"false\">Administrateurs de r\u00e9gime<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-9872\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-9872\" aria-expanded=\"false\">Participants<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-9873\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-9873\" aria-expanded=\"false\">Conseillers<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-9874\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-9874\" aria-expanded=\"false\">Prestataires<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-9871\" aria-expanded=\"false\">Administrateurs de r\u00e9gime<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9871\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-9871\" tabindex=\"0\" hidden=\"false\">\n\t  <div class=\"search_bar\">\n\t  \n\t\t\t\t<form action=\"\/fr\/\" method=\"get\" autocomplete=\"off\" role=\"search\">\n        \t\t  <i class=\"fas fa-search\"><\/i><input type=\"text\" name=\"s\" aria-label=\"Search Forms\" role=\"button\" placeholder=\"Taper un mot-cl\u00e9 pour rechercher un formulaire\" id=\"claimsecure_form_search_keyword223524370\" class=\"input_search form_search_keyword\" data-category=\"44\" onkeyup=\"fetch223524370()\">\n\t\t<\/form>\n\t\t<div class=\"claimsecure_form_datafetch223524370\"  id=\"claimsecure_form_datafetch\" style=\"display:none;margin-bottom:25px;\">\n\t\t  <ul>\n\n\t\t  <\/ul>\n\t\t<\/div>\n\t  <\/div>\n\t  <script type=\"text\/javascript\">\n\t\n\t\tfunction fetch223524370() {\t\t\t\t\t\t\n\t\t\tif(jQuery('#claimsecure_form_search_keyword223524370').val() == ''){ \n\t\t\t\tjQuery('.claimsecure_form_datafetch223524370').hide();\n\t\t\t\tjQuery('.claimsecure-form-container').show();\n\t\t\t\tjQuery('.claimsecure-form-search-container').hide();\n\t\t\t}else{\n\t\t\t\tjQuery('.claimsecure_form_datafetch223524370').show();\n\t\t\t}\t\t\t\n\t\t  jQuery.ajax({\n\t\t\turl: '\/wp-admin\/admin-ajax.php',\n\t\t\ttype: 'post',\n\t\t\tdata: {\n\t\t\t  action: 'claimsecure_form_datafetch_action',\n\t\t\t  keyword: jQuery('#claimsecure_form_search_keyword223524370').val(),\n\t\t\t  category: jQuery('#claimsecure_form_search_keyword223524370').data(\"category\"),\n\t\t\t},\n\t\t\tsuccess: function(data) {\n\t\t\t  jQuery('.claimsecure_form_datafetch223524370').html(data);\n\t\t\t  jQuery('.claimsecure_form_datafetch223524370').show();\n\t\t\t}\n\t\t  });\n\n\t\t}\n\t\n\t\t\/\/fetch();\n\t\tjQuery(document).ready(function(){\t\n\t\n\t\t\tjQuery('body').click(function(){\n\t\t\t\tjQuery('.claimsecure_form_datafetch223524370').css('display','none');\n\t\t\t});\n\t\t\t\n\t\t\t\n\t\t\t\/*\n\t\t\tadvisor:32\n\t\t\tmember:26\n\t\t\tproviders:29\n\t\t\tsponser:44\n\t\t\t\n\t\t\t*\/\n\t\t\t\n\t\t\t\/*Change form category*\/\n\t\t\tjQuery(\"#elementor-tab-title-9871\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '44');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\tjQuery(\"#elementor-tab-title-9872\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '26');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\t\n\t\t\tjQuery(\"#elementor-tab-title-9873\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '32');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\tjQuery(\"#elementor-tab-title-9874\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '39');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\t\t\t\n\t\t});\n\t\t\n\t\t\/*Get keyword*\/\n\t\tjQuery(document).ajaxComplete(function(){\n\t\t\tjQuery(\".get_search_keyword\").on(\"click\",function(){\n\t\t\t  var keyword = jQuery(this).data(\"keyword\");\n\t\t\t  var category = jQuery(this).data(\"category\")\n\t\t\t\tjQuery.ajax({\n\t\t\t\t\turl: 'https:\/\/www.claimsecure.com\/wp-admin\/admin-ajax.php',\n\t\t\t\t\ttype: 'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t  action: 'claimsecure_search_keyword_action',\n\t\t\t\t\t  keyword: keyword,\n\t\t\t\t\t   category: category,\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').show();\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').html(data);\n\t\t\t\t\t  jQuery('.claimsecure-form-container').hide();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t});\n\t\t});\n\t  <\/script>\n\t  <p style=\"margin-bottom: 20px;\">Trouvez rapidement et facilement tous les formulaires dont vous avez besoin sur cette page. Parcourez la liste des formulaires et documents ci-dessous ou effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous. Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en cliquant sur le lien de t\u00e9l\u00e9chargement.<\/p>\n<p><strong>Parcourez la liste des formulaires et documents ci-dessous effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous.<\/strong><br \/><br \/>    <div class=\"claimsecure-form-container\">\n                            <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title active\">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"display:block;\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4322\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4322 EN-2722\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Etablissement d\u2019un nouveau groupe<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4295\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Un document interactif qui contient le d\u00e9tail des couvertures des participants\/personnes \u00e0 charge et le format de donn\u00e9es pour les soumissions \u00e9lectroniques de fichier.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/eligibility_file_format-1.pdf?v=1686724295\"\n                                           class=\"claimsecure-form-download-button FR-4295 EN-2718\"\n                                           aria-label=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4296\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es.pdf?v=1756154259\"\n                                           class=\"claimsecure-form-download-button FR-4296 EN-2663\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4371\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l&rsquo;inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l&rsquo;\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4371 EN-2972\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4404\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 tiers administration<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire est utilis\u00e9 dans le contexte de l&rsquo;administration du r\u00e9gime \u00e0 l&rsquo;\u00e9gard des tiers au moment de l&rsquo;adh\u00e9sion d&rsquo;un nouvel employ\u00e9 ou de la modification de renseignements sur les protections existantes.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es-1.pdf?v=1756189558\"\n                                           class=\"claimsecure-form-download-button FR-4404 EN-2973\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 tiers administration\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 tiers administration, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4412\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce document indique les exigences minimum en mati\u00e8re de logiciels et d&rsquo;ordinateur pour utiliser les services Web de S\u00e9curIndemnit\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/req_clientaccess_existing_fr-2.pdf?v=1689092049\"\n                                           class=\"claimsecure-form-download-button FR-4412 EN-2974\"\n                                           aria-label=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4255\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Anti-ob\u00e9sit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/claim_weight_management_fr-2002000-032-CL.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4255 EN-2981\"\n                                           aria-label=\"Anti-ob\u00e9sit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Anti-ob\u00e9sit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4330\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d&rsquo;autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4330 EN-2980\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4387\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4387 EN-2984\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4394\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4394 EN-2983\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4397\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments sp\u00e9cialis\u00e9s uniquement. Liste des m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la cat\u00e9gorie \u00ab Autorisation sp\u00e9ciale requise \u00bb par le promoteur du r\u00e9gime \u2013 les participants au r\u00e9gime peuvent t\u00e9l\u00e9charger cette liste et la pr\u00e9senter \u00e0 leurs fournisseurs de soins de sant\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/01\/specialty_drugs_approval_guidelines_FR-December-2024-FINAL-s.pdf?v=1738263993\"\n                                           class=\"claimsecure-form-download-button FR-4397 EN-2574\"\n                                           aria-label=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation\"\n                                           role=\"button\"\n                                           title=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d&rsquo;h\u00f4pital. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-8721\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire de prestation \u00e0 co\u00fbt major\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\"><\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/05\/formulaire_cout_majore_FR_2024_FINAL-es.pdf?v=1748538255\"\n                                           class=\"claimsecure-form-download-button FR-8721 EN-8705\"\n                                           aria-label=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9\"\n                                           role=\"button\"\n                                           title=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                        <\/div>\n\n    <div class=\"claimsecure-form-search-container\"><\/div>\n\n    <div id=\"category-slug\" data-slug=\"Sponsor\" style=\"display:none;\"><\/div>\n\n    <style>\n        .forms-download-heading{\n            font-weight: 700;\n            word-break: break-word;\n            color: #3E3F44;\n            font-size: 24px;\n        }\n    <\/style>\n\n    <script>\n        (function(){\n            var selected_class = \"claimsecure-form-accordion-d-Sponsor\";\n            var acc = document.getElementsByClassName(selected_class);\n            for (var i = 0; i < acc.length; i++) {\n                acc[i].addEventListener(\"click\", function() {\n                    this.classList.toggle(\"active\");\n                    var panel = this.nextElementSibling;\n                    if (panel.style.display === \"block\") {\n                        panel.style.display = \"none\";\n                    } else {\n                        panel.style.display = \"block\";\n                    }\n                });\n            }\n        })();\n    <\/script>\n    <\/p>\n<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-9872\" aria-expanded=\"false\">Participants<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-9872\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-9872\" tabindex=\"0\" hidden=\"hidden\">\n\t  <div class=\"search_bar\">\n\t  \n\t\t\t\t<form action=\"\/fr\/\" method=\"get\" autocomplete=\"off\" role=\"search\">\n        \t\t  <i class=\"fas fa-search\"><\/i><input type=\"text\" name=\"s\" aria-label=\"Search Forms\" role=\"button\" placeholder=\"Taper un mot-cl\u00e9 pour rechercher un formulaire\" id=\"claimsecure_form_search_keyword14912839\" class=\"input_search form_search_keyword\" data-category=\"44\" onkeyup=\"fetch14912839()\">\n\t\t<\/form>\n\t\t<div class=\"claimsecure_form_datafetch14912839\"  id=\"claimsecure_form_datafetch\" style=\"display:none;margin-bottom:25px;\">\n\t\t  <ul>\n\n\t\t  <\/ul>\n\t\t<\/div>\n\t  <\/div>\n\t  <script type=\"text\/javascript\">\n\t\n\t\tfunction fetch14912839() {\t\t\t\t\t\t\n\t\t\tif(jQuery('#claimsecure_form_search_keyword14912839').val() == ''){ \n\t\t\t\tjQuery('.claimsecure_form_datafetch14912839').hide();\n\t\t\t\tjQuery('.claimsecure-form-container').show();\n\t\t\t\tjQuery('.claimsecure-form-search-container').hide();\n\t\t\t}else{\n\t\t\t\tjQuery('.claimsecure_form_datafetch14912839').show();\n\t\t\t}\t\t\t\n\t\t  jQuery.ajax({\n\t\t\turl: '\/wp-admin\/admin-ajax.php',\n\t\t\ttype: 'post',\n\t\t\tdata: {\n\t\t\t  action: 'claimsecure_form_datafetch_action',\n\t\t\t  keyword: jQuery('#claimsecure_form_search_keyword14912839').val(),\n\t\t\t  category: jQuery('#claimsecure_form_search_keyword14912839').data(\"category\"),\n\t\t\t},\n\t\t\tsuccess: function(data) {\n\t\t\t  jQuery('.claimsecure_form_datafetch14912839').html(data);\n\t\t\t  jQuery('.claimsecure_form_datafetch14912839').show();\n\t\t\t}\n\t\t  });\n\n\t\t}\n\t\n\t\t\/\/fetch();\n\t\tjQuery(document).ready(function(){\t\n\t\n\t\t\tjQuery('body').click(function(){\n\t\t\t\tjQuery('.claimsecure_form_datafetch14912839').css('display','none');\n\t\t\t});\n\t\t\t\n\t\t\t\n\t\t\t\/*\n\t\t\tadvisor:32\n\t\t\tmember:26\n\t\t\tproviders:29\n\t\t\tsponser:44\n\t\t\t\n\t\t\t*\/\n\t\t\t\n\t\t\t\/*Change form category*\/\n\t\t\tjQuery(\"#elementor-tab-title-9871\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '44');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\tjQuery(\"#elementor-tab-title-9872\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '26');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\t\n\t\t\tjQuery(\"#elementor-tab-title-9873\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '32');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\tjQuery(\"#elementor-tab-title-9874\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '39');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\t\t\t\n\t\t});\n\t\t\n\t\t\/*Get keyword*\/\n\t\tjQuery(document).ajaxComplete(function(){\n\t\t\tjQuery(\".get_search_keyword\").on(\"click\",function(){\n\t\t\t  var keyword = jQuery(this).data(\"keyword\");\n\t\t\t  var category = jQuery(this).data(\"category\")\n\t\t\t\tjQuery.ajax({\n\t\t\t\t\turl: 'https:\/\/www.claimsecure.com\/wp-admin\/admin-ajax.php',\n\t\t\t\t\ttype: 'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t  action: 'claimsecure_search_keyword_action',\n\t\t\t\t\t  keyword: keyword,\n\t\t\t\t\t   category: category,\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').show();\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').html(data);\n\t\t\t\t\t  jQuery('.claimsecure-form-container').hide();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t});\n\t\t});\n\t  <\/script>\n\t  <p style=\"margin-bottom: 20px;\">Trouvez rapidement et facilement tous les formulaires dont vous avez besoin sur cette page. Parcourez la liste des formulaires et documents ci-dessous ou effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous. Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en cliquant sur le lien de t\u00e9l\u00e9chargement.<\/p>\n<p><strong>Parcourez la liste des formulaires et documents ci-dessous effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous.<\/strong><br \/><br \/>    <div class=\"claimsecure-form-container\">\n                            <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Member claimsecure-form-category-title active\">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"display:block;\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4321\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4321 EN-2942\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4370\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l&rsquo;inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l&rsquo;\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4370 EN-2936\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Member claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Member claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4297\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_elig_fr_2312000-011C-GA_FINAL.pdf?v=1706300989\"\n                                           class=\"claimsecure-form-download-button FR-4297 EN-2934\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4370\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l&rsquo;inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l&rsquo;\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4370 EN-2936\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Member claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4268\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce formulaire doit \u00eatre rempli par toute personne qui acc\u00e8de au service de navigation relatif \u00e0 la couverture afin d&rsquo;obtenir de l&rsquo;aide pour soumettre une demande d&rsquo;inscription aux programmes de m\u00e9dicaments de sp\u00e9cialit\u00e9 parrain\u00e9s par le gouvernement et par le fabricant.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/coverage-navigation-service-enrolment-form_french_CP.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4268 EN-2951\"\n                                           aria-label=\"Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4329\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d&rsquo;autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4329 EN-2944\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4357\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Demande Aucune substitution<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Il faut remplir ce formulaire de demande de remboursement si une personne dont le r\u00e9gime comprend des m\u00e9dicaments g\u00e9n\u00e9riques obligatoires soumet une demande de protection pour que lui soit rembours\u00e9 le co\u00fbt int\u00e9gral d&rsquo;un m\u00e9dicament de marque precise.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/No-Sub-Request-Form_SP-A1-201510_FR_2311000-036A-CP_Consent-Update-Aug-2024-FINAL-es.pdf?v=1731441044\"\n                                           class=\"claimsecure-form-download-button FR-4357 EN-2950\"\n                                           aria-label=\"Demande Aucune substitution\"\n                                           role=\"button\"\n                                           title=\"Demande Aucune substitution, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4386\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4386 EN-2946\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4393\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4393 EN-2949\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Member claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d&rsquo;h\u00f4pital. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                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16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                        <\/div>\n\n    <div class=\"claimsecure-form-search-container\"><\/div>\n\n    <div id=\"category-slug\" data-slug=\"Member\" style=\"display:none;\"><\/div>\n\n    <style>\n        .forms-download-heading{\n            font-weight: 700;\n            word-break: break-word;\n            color: #3E3F44;\n            font-size: 24px;\n        }\n    <\/style>\n\n    <script>\n        (function(){\n            var selected_class = \"claimsecure-form-accordion-d-Member\";\n            var 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aria-labelledby=\"elementor-tab-title-9873\" tabindex=\"0\" hidden=\"hidden\">\n\t  <div class=\"search_bar\">\n\t  \n\t\t\t\t<form action=\"\/fr\/\" method=\"get\" autocomplete=\"off\" role=\"search\">\n        \t\t  <i class=\"fas fa-search\"><\/i><input type=\"text\" name=\"s\" aria-label=\"Search Forms\" role=\"button\" placeholder=\"Taper un mot-cl\u00e9 pour rechercher un formulaire\" id=\"claimsecure_form_search_keyword520539381\" class=\"input_search form_search_keyword\" data-category=\"44\" onkeyup=\"fetch520539381()\">\n\t\t<\/form>\n\t\t<div class=\"claimsecure_form_datafetch520539381\"  id=\"claimsecure_form_datafetch\" style=\"display:none;margin-bottom:25px;\">\n\t\t  <ul>\n\n\t\t  <\/ul>\n\t\t<\/div>\n\t  <\/div>\n\t  <script type=\"text\/javascript\">\n\t\n\t\tfunction fetch520539381() {\t\t\t\t\t\t\n\t\t\tif(jQuery('#claimsecure_form_search_keyword520539381').val() == ''){ 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'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t  action: 'claimsecure_search_keyword_action',\n\t\t\t\t\t  keyword: keyword,\n\t\t\t\t\t   category: category,\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').show();\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').html(data);\n\t\t\t\t\t  jQuery('.claimsecure-form-container').hide();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t});\n\t\t});\n\t  <\/script>\n\t  <p style=\"margin-bottom: 20px;\">Trouvez rapidement et facilement tous les formulaires dont vous avez besoin sur cette page. Parcourez la liste des formulaires et documents ci-dessous ou effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous. Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en cliquant sur le lien de t\u00e9l\u00e9chargement.<\/p>\n<p><strong>Parcourez la liste des formulaires et documents ci-dessous effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous.<\/strong><br \/><br \/>    <div class=\"claimsecure-form-container\">\n                            <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title active\">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"display:block;\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4323\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4323 EN-2551\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Etablissement d\u2019un nouveau groupe<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4294\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Un document interactif qui contient le d\u00e9tail des couvertures des participants\/personnes \u00e0 charge et le format de donn\u00e9es pour les soumissions \u00e9lectroniques de fichier.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/eligibility_file_format.pdf?v=1686724231\"\n                                           class=\"claimsecure-form-download-button FR-4294 EN-2964\"\n                                           aria-label=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4298\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es.pdf?v=1756154259\"\n                                           class=\"claimsecure-form-download-button FR-4298 EN-2492\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4372\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l&rsquo;inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l&rsquo;\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4372 EN-2498\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4403\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 tiers administration<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire est utilis\u00e9 dans le contexte de l&rsquo;administration du r\u00e9gime \u00e0 l&rsquo;\u00e9gard des tiers au moment de l&rsquo;adh\u00e9sion d&rsquo;un nouvel employ\u00e9 ou de la modification de renseignements sur les protections existantes.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_tpa_elig_en-Privacy-Wording-Update-Copy_FINAL-es.pdf?v=1755098239\"\n                                           class=\"claimsecure-form-download-button FR-4403 EN-2956\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 tiers administration\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 tiers administration, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4413\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce document indique les exigences minimum en mati\u00e8re de logiciels et d&rsquo;ordinateur pour utiliser les services Web de S\u00e9curIndemnit\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/req_clientaccess_existing_fr-2.pdf?v=1689092049\"\n                                           class=\"claimsecure-form-download-button FR-4413 EN-2504\"\n                                           aria-label=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4253\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Anti-ob\u00e9sit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/claim_weight_management_fr-2002000-032-CL.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4253 EN-2566\"\n                                           aria-label=\"Anti-ob\u00e9sit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Anti-ob\u00e9sit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4328\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d&rsquo;autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4328 EN-2562\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4384\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4384 EN-2582\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4392\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4392 EN-2578\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4397\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments sp\u00e9cialis\u00e9s uniquement. Liste des m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la cat\u00e9gorie \u00ab Autorisation sp\u00e9ciale requise \u00bb par le promoteur du r\u00e9gime \u2013 les participants au r\u00e9gime peuvent t\u00e9l\u00e9charger cette liste et la pr\u00e9senter \u00e0 leurs fournisseurs de soins de sant\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/01\/specialty_drugs_approval_guidelines_FR-December-2024-FINAL-s.pdf?v=1738263993\"\n                                           class=\"claimsecure-form-download-button FR-4397 EN-2574\"\n                                           aria-label=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation\"\n                                           role=\"button\"\n                                           title=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d&rsquo;h\u00f4pital. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-8721\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire de prestation \u00e0 co\u00fbt major\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\"><\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/05\/formulaire_cout_majore_FR_2024_FINAL-es.pdf?v=1748538255\"\n                                           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16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                        <\/div>\n\n    <div class=\"claimsecure-form-search-container\"><\/div>\n\n    <div id=\"category-slug\" data-slug=\"Advisor\" style=\"display:none;\"><\/div>\n\n    <style>\n        .forms-download-heading{\n            font-weight: 700;\n            word-break: break-word;\n            color: #3E3F44;\n            font-size: 24px;\n        }\n    <\/style>\n\n    <script>\n        (function(){\n            var selected_class = \"claimsecure-form-accordion-d-Advisor\";\n            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aria-labelledby=\"elementor-tab-title-9874\" tabindex=\"0\" hidden=\"hidden\">\n\t  <div class=\"search_bar\">\n\t  \n\t\t\t\t<form action=\"\/fr\/\" method=\"get\" autocomplete=\"off\" role=\"search\">\n        \t\t  <i class=\"fas fa-search\"><\/i><input type=\"text\" name=\"s\" aria-label=\"Search Forms\" role=\"button\" placeholder=\"Taper un mot-cl\u00e9 pour rechercher un formulaire\" id=\"claimsecure_form_search_keyword920413111\" class=\"input_search form_search_keyword\" data-category=\"44\" onkeyup=\"fetch920413111()\">\n\t\t<\/form>\n\t\t<div class=\"claimsecure_form_datafetch920413111\"  id=\"claimsecure_form_datafetch\" style=\"display:none;margin-bottom:25px;\">\n\t\t  <ul>\n\n\t\t  <\/ul>\n\t\t<\/div>\n\t  <\/div>\n\t  <script type=\"text\/javascript\">\n\t\n\t\tfunction fetch920413111() {\t\t\t\t\t\t\n\t\t\tif(jQuery('#claimsecure_form_search_keyword920413111').val() == ''){ 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'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t  action: 'claimsecure_search_keyword_action',\n\t\t\t\t\t  keyword: keyword,\n\t\t\t\t\t   category: category,\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').show();\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').html(data);\n\t\t\t\t\t  jQuery('.claimsecure-form-container').hide();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t});\n\t\t});\n\t  <\/script>\n\t  <p style=\"margin-bottom: 20px;\">Trouvez rapidement et facilement tous les formulaires dont vous avez besoin sur cette page. Parcourez la liste des formulaires et documents ci-dessous ou effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous. Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en cliquant sur le lien de t\u00e9l\u00e9chargement.<\/p>\n<p><strong>Parcourez la liste des formulaires et documents ci-dessous effectuez une recherche en saisissant des mots cl\u00e9s dans le champ de recherche ci-dessous.<\/strong><br \/><br \/>    <div class=\"claimsecure-form-container\">\n                            <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Provider claimsecure-form-category-title active\">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"display:block;\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Provider claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4379\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Information et entente du fournisseur de produits pharmaceutiques<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire et entente \u00e0 faire signer par le pharmacien pour connecter et transmettre en temps r\u00e9el les demandes d&rsquo;indemnit\u00e9 \u00e0 S\u00e9curIndemnit\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/Pharmacy-Provider-Agreement_PPA-06-2021-CSSHI_FR_2311000-030B-CL-FINAL-e.pdf?v=1707779109\"\n                                           class=\"claimsecure-form-download-button FR-4379 EN-2602\"\n                                           aria-label=\"Information et entente du fournisseur de produits pharmaceutiques\"\n                                           role=\"button\"\n                                           title=\"Information et entente du fournisseur de produits pharmaceutiques, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4381\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Inscription au d\u00e9p\u00f4t direct<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire d&rsquo;inscription au d\u00e9p\u00f4t direct<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/Provider-eProfile-Enrollment-Guide_FR_2401000-39-PR-FINAL-s.pdf?v=1706560907\"\n                                           class=\"claimsecure-form-download-button FR-4381 EN-2607\"\n                                           aria-label=\"Inscription au d\u00e9p\u00f4t direct\"\n                                           role=\"button\"\n                                           title=\"Inscription au d\u00e9p\u00f4t direct, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Provider claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4385\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4385 EN-2635\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Provider claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d&rsquo;h\u00f4pital. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d&rsquo;indiquer toute l&rsquo;information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                        <\/div>\n\n    <div class=\"claimsecure-form-search-container\"><\/div>\n\n    <div id=\"category-slug\" data-slug=\"Provider\" style=\"display:none;\"><\/div>\n\n    <style>\n        .forms-download-heading{\n            font-weight: 700;\n            word-break: break-word;\n            color: #3E3F44;\n            font-size: 24px;\n        }\n    <\/style>\n\n    <script>\n        (function(){\n            var selected_class = \"claimsecure-form-accordion-d-Provider\";\n            var acc = document.getElementsByClassName(selected_class);\n            for (var i = 0; i < acc.length; i++) {\n                acc[i].addEventListener(\"click\", function() {\n                    this.classList.toggle(\"active\");\n                    var panel = this.nextElementSibling;\n                    if (panel.style.display === \"block\") {\n                        panel.style.display = \"none\";\n                    } else {\n                        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data-category=\"44\" onkeyup=\"fetch966685678()\">\n\t\t<\/form>\n\t\t<div class=\"claimsecure_form_datafetch966685678\"  id=\"claimsecure_form_datafetch\" style=\"display:none;margin-bottom:25px;\">\n\t\t  <ul>\n\n\t\t  <\/ul>\n\t\t<\/div>\n\t  <\/div>\n\t  <script type=\"text\/javascript\">\n\t\n\t\tfunction fetch966685678() {\t\t\t\t\t\t\n\t\t\tif(jQuery('#claimsecure_form_search_keyword966685678').val() == ''){ \n\t\t\t\tjQuery('.claimsecure_form_datafetch966685678').hide();\n\t\t\t\tjQuery('.claimsecure-form-container').show();\n\t\t\t\tjQuery('.claimsecure-form-search-container').hide();\n\t\t\t}else{\n\t\t\t\tjQuery('.claimsecure_form_datafetch966685678').show();\n\t\t\t}\t\t\t\n\t\t  jQuery.ajax({\n\t\t\turl: '\/wp-admin\/admin-ajax.php',\n\t\t\ttype: 'post',\n\t\t\tdata: {\n\t\t\t  action: 'claimsecure_form_datafetch_action',\n\t\t\t  keyword: jQuery('#claimsecure_form_search_keyword966685678').val(),\n\t\t\t  category: jQuery('#claimsecure_form_search_keyword966685678').data(\"category\"),\n\t\t\t},\n\t\t\tsuccess: function(data) {\n\t\t\t  jQuery('.claimsecure_form_datafetch966685678').html(data);\n\t\t\t  jQuery('.claimsecure_form_datafetch966685678').show();\n\t\t\t}\n\t\t  });\n\n\t\t}\n\t\n\t\t\/\/fetch();\n\t\tjQuery(document).ready(function(){\t\n\t\n\t\t\tjQuery('body').click(function(){\n\t\t\t\tjQuery('.claimsecure_form_datafetch966685678').css('display','none');\n\t\t\t});\n\t\t\t\n\t\t\t\n\t\t\t\/*\n\t\t\tadvisor:32\n\t\t\tmember:26\n\t\t\tproviders:29\n\t\t\tsponser:44\n\t\t\t\n\t\t\t*\/\n\t\t\t\n\t\t\t\/*Change form category*\/\n\t\t\tjQuery(\"#elementor-tab-title-9871\").on(\"click\",function(){\n\t\t\t   jQuery('.form_search_keyword').attr('data-category', '44');\n\t\t\t   jQuery('.claimsecure-form-container').show();\n\t\t\t   jQuery('.claimsecure-form-search-container').hide();\n\t\t\t});\n\n\t\t\tjQuery(\"#elementor-tab-title-9872\").on(\"click\",function(){\n\t\t\t   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jQuery(this).data(\"category\")\n\t\t\t\tjQuery.ajax({\n\t\t\t\t\turl: 'https:\/\/www.claimsecure.com\/wp-admin\/admin-ajax.php',\n\t\t\t\t\ttype: 'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t  action: 'claimsecure_search_keyword_action',\n\t\t\t\t\t  keyword: keyword,\n\t\t\t\t\t   category: category,\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').show();\n\t\t\t\t\t  jQuery('.claimsecure-form-search-container').html(data);\n\t\t\t\t\t  jQuery('.claimsecure-form-container').hide();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t});\n\t\t});\n\t  <\/script>\n\t  \t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c044c5a elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-shortcode\" data-id=\"c044c5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">    <div class=\"claimsecure-form-container\">\n                            <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title active\">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"display:block;\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4323\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4323 EN-2551\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Etablissement d\u2019un nouveau groupe<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4294\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Un document interactif qui contient le d\u00e9tail des couvertures des participants\/personnes \u00e0 charge et le format de donn\u00e9es pour les soumissions \u00e9lectroniques de fichier.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/eligibility_file_format.pdf?v=1686724231\"\n                                           class=\"claimsecure-form-download-button FR-4294 EN-2964\"\n                                           aria-label=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4298\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es.pdf?v=1756154259\"\n                                           class=\"claimsecure-form-download-button FR-4298 EN-2492\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4372\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l'inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l'\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4372 EN-2498\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4403\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 tiers administration<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire est utilis\u00e9 dans le contexte de l'administration du r\u00e9gime \u00e0 l'\u00e9gard des tiers au moment de l'adh\u00e9sion d'un nouvel employ\u00e9 ou de la modification de renseignements sur les protections existantes.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_tpa_elig_en-Privacy-Wording-Update-Copy_FINAL-es.pdf?v=1755098239\"\n                                           class=\"claimsecure-form-download-button FR-4403 EN-2956\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 tiers administration\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 tiers administration, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4413\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce document indique les exigences minimum en mati\u00e8re de logiciels et d'ordinateur pour utiliser les services Web de S\u00e9curIndemnit\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/req_clientaccess_existing_fr-2.pdf?v=1689092049\"\n                                           class=\"claimsecure-form-download-button FR-4413 EN-2504\"\n                                           aria-label=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4253\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Anti-ob\u00e9sit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/claim_weight_management_fr-2002000-032-CL.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4253 EN-2566\"\n                                           aria-label=\"Anti-ob\u00e9sit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Anti-ob\u00e9sit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4328\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d'autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4328 EN-2562\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4384\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4384 EN-2582\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4392\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4392 EN-2578\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4397\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments sp\u00e9cialis\u00e9s uniquement. Liste des m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la cat\u00e9gorie \u00ab Autorisation sp\u00e9ciale requise \u00bb par le promoteur du r\u00e9gime \u2013 les participants au r\u00e9gime peuvent t\u00e9l\u00e9charger cette liste et la pr\u00e9senter \u00e0 leurs fournisseurs de soins de sant\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/01\/specialty_drugs_approval_guidelines_FR-December-2024-FINAL-s.pdf?v=1738263993\"\n                                           class=\"claimsecure-form-download-button FR-4397 EN-2574\"\n                                           aria-label=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation\"\n                                           role=\"button\"\n                                           title=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d'h\u00f4pital. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-8721\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire de prestation \u00e0 co\u00fbt major\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\"><\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/05\/formulaire_cout_majore_FR_2024_FINAL-es.pdf?v=1748538255\"\n                                           class=\"claimsecure-form-download-button FR-8721 EN-8705\"\n                                           aria-label=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9\"\n                                           role=\"button\"\n                                           title=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4321\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4321 EN-2942\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4370\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l'inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l'\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4370 EN-2936\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4297\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_elig_fr_2312000-011C-GA_FINAL.pdf?v=1706300989\"\n                                           class=\"claimsecure-form-download-button FR-4297 EN-2934\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4370\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l'inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l'\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4370 EN-2936\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4268\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce formulaire doit \u00eatre rempli par toute personne qui acc\u00e8de au service de navigation relatif \u00e0 la couverture afin d'obtenir de l'aide pour soumettre une demande d'inscription aux programmes de m\u00e9dicaments de sp\u00e9cialit\u00e9 parrain\u00e9s par le gouvernement et par le fabricant.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/coverage-navigation-service-enrolment-form_french_CP.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4268 EN-2951\"\n                                           aria-label=\"Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;inscription au service de navigation relatif \u00e0 la couverture, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4329\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d'autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4329 EN-2944\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4357\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Demande Aucune substitution<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Il faut remplir ce formulaire de demande de remboursement si une personne dont le r\u00e9gime comprend des m\u00e9dicaments g\u00e9n\u00e9riques obligatoires soumet une demande de protection pour que lui soit rembours\u00e9 le co\u00fbt int\u00e9gral d'un m\u00e9dicament de marque precise.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/No-Sub-Request-Form_SP-A1-201510_FR_2311000-036A-CP_Consent-Update-Aug-2024-FINAL-es.pdf?v=1731441044\"\n                                           class=\"claimsecure-form-download-button FR-4357 EN-2950\"\n                                           aria-label=\"Demande Aucune substitution\"\n                                           role=\"button\"\n                                           title=\"Demande Aucune substitution, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4386\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4386 EN-2946\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4393\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4393 EN-2949\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d'h\u00f4pital. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-8721\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire de prestation \u00e0 co\u00fbt major\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\"><\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/05\/formulaire_cout_majore_FR_2024_FINAL-es.pdf?v=1748538255\"\n                                           class=\"claimsecure-form-download-button FR-8721 EN-8705\"\n                                           aria-label=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9\"\n                                           role=\"button\"\n                                           title=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Am\u00e9liorations au r\u00e9gime d&#039;assurance m\u00e9dicaments<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4322\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste de m\u00e9dicaments restrictive<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste restrictive des m\u00e9dicaments et des m\u00e9dicaments de remplacement faisant partie de la m\u00eame classe th\u00e9rapeutique.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/12\/formulary_select_drug_list_fr.pdf?v=1765402830\"\n                                           class=\"claimsecure-form-download-button FR-4322 EN-2722\"\n                                           aria-label=\"Liste de m\u00e9dicaments restrictive\"\n                                           role=\"button\"\n                                           title=\"Liste de m\u00e9dicaments restrictive, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Etablissement d\u2019un nouveau groupe<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4295\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Un document interactif qui contient le d\u00e9tail des couvertures des participants\/personnes \u00e0 charge et le format de donn\u00e9es pour les soumissions \u00e9lectroniques de fichier.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/eligibility_file_format-1.pdf?v=1686724295\"\n                                           class=\"claimsecure-form-download-button FR-4295 EN-2718\"\n                                           aria-label=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications contenant les donn\u00e9es d\u2019admissibilit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaire de demande<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4280\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Soins dentaires<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 de soins dentaires. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_dental_fr-2002000-014A-CL_64.pdf?v=1738344298\"\n                                           class=\"claimsecure-form-download-button FR-4280 EN-2615\"\n                                           aria-label=\"Soins dentaires\"\n                                           role=\"button\"\n                                           title=\"Soins dentaires, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4286\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">M\u00e9dicament<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicaments. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_drug_fr-2002000-015A-CL-64.pdf?v=1738343861\"\n                                           class=\"claimsecure-form-download-button FR-4286 EN-2938\"\n                                           aria-label=\"M\u00e9dicament\"\n                                           role=\"button\"\n                                           title=\"M\u00e9dicament, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4315\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Assurance maladie compl\u00e9mentaire<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 m\u00e9dicale gros risque. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_ehc_fr-2002000-013A-CL_64.pdf?v=1738342227\"\n                                           class=\"claimsecure-form-download-button FR-4315 EN-2939\"\n                                           aria-label=\"Assurance maladie compl\u00e9mentaire\"\n                                           role=\"button\"\n                                           title=\"Assurance maladie compl\u00e9mentaire, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4340\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Compte de gestion-sant\u00e9 (CGS)<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_hssa_fr-2002000-016A-CL-64.pdf?v=1738341690\"\n                                           class=\"claimsecure-form-download-button FR-4340 EN-2940\"\n                                           aria-label=\"Compte de gestion-sant\u00e9 (CGS)\"\n                                           role=\"button\"\n                                           title=\"Compte de gestion-sant\u00e9 (CGS), open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4425\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Bien-\u00eatre<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Bien-\u00eatre Le formulaire doit \u00eatre rempli lors de la soumission d\u2019une demande de remboursement d\u2019indemnit\u00e9 bien-\u00eatre. Assurez-vous d\u2019inclure le re\u00e7u avec le formulaire d\u00fbment rempli.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/form_claim_wellness_fr-2002000-017A-CL-64.pdf?v=1738341191\"\n                                           class=\"claimsecure-form-download-button FR-4425 EN-2941\"\n                                           aria-label=\"Bien-\u00eatre\"\n                                           role=\"button\"\n                                           title=\"Bien-\u00eatre, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires administratifs<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4296\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019adh\u00e9sion<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli lors de l\u2019admission de nouveaux employ\u00e9s ou d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es.pdf?v=1756154259\"\n                                           class=\"claimsecure-form-download-button FR-4296 EN-2663\"\n                                           aria-label=\"Formulaire d\u2019adh\u00e9sion\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019adh\u00e9sion, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4371\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Formulaire \u00e0 remplir lors de l'inscription d\u2019une personne \u00e0 charge ayant d\u00e9pass\u00e9 l'\u00e2ge limite ou lors d\u2019une modification de la couverture existante.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_elig_oad_fr_2312000-012B-GA_Privacy-Wording-Update_FINAL-es.pdf?v=1756156501\"\n                                           class=\"claimsecure-form-download-button FR-4371 EN-2972\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 &#8211; Personnes \u00e0 charge ayant d\u00e9pass\u00e9 l\u2019\u00e2ge limite, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4404\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d\u2019admissibilit\u00e9 tiers administration<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire est utilis\u00e9 dans le contexte de l'administration du r\u00e9gime \u00e0 l'\u00e9gard des tiers au moment de l'adh\u00e9sion d'un nouvel employ\u00e9 ou de la modification de renseignements sur les protections existantes.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/08\/form_tpa_elig_fr-1-Privacy-Wording-Update_FINAL-es-1.pdf?v=1756189558\"\n                                           class=\"claimsecure-form-download-button FR-4404 EN-2973\"\n                                           aria-label=\"Formulaire d\u2019admissibilit\u00e9 tiers administration\"\n                                           role=\"button\"\n                                           title=\"Formulaire d\u2019admissibilit\u00e9 tiers administration, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4412\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Ce document indique les exigences minimum en mati\u00e8re de logiciels et d'ordinateur pour utiliser les services Web de S\u00e9curIndemnit\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/req_clientaccess_existing_fr-2.pdf?v=1689092049\"\n                                           class=\"claimsecure-form-download-button FR-4412 EN-2974\"\n                                           aria-label=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel\"\n                                           role=\"button\"\n                                           title=\"Sp\u00e9cifications de connectivit\u00e9 Web &#8211; Client actuel, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Formulaires pour les Autorisations Sp\u00e9ciales<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4255\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Anti-ob\u00e9sit\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/02\/claim_weight_management_fr-2002000-032-CL.pdf?v=1739396715\"\n                                           class=\"claimsecure-form-download-button FR-4255 EN-2981\"\n                                           aria-label=\"Anti-ob\u00e9sit\u00e9\"\n                                           role=\"button\"\n                                           title=\"Anti-ob\u00e9sit\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4330\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Foire aux questions<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">R\u00e9ponses aux questions les plus fr\u00e9quemment pos\u00e9es en ce qui a trait au processus d'autorisation sp\u00e9ciale.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/special_auth_faq_fr-2002000-019A-CP-1.pdf?v=1689088498\"\n                                           class=\"claimsecure-form-download-button FR-4330 EN-2980\"\n                                           aria-label=\"Foire aux questions\"\n                                           role=\"button\"\n                                           title=\"Foire aux questions, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4387\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Liste des medicaments<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la liste \u201cRequiert Autorisation Sp\u00e9ciale\u201d \u00e9tablie par le r\u00e9pondant de r\u00e9gime.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/11\/CS-special-authorization-drugs-and-approval-guidelines-FR-August-2025_FINAL.pdf?v=1762887230\"\n                                           class=\"claimsecure-form-download-button FR-4387 EN-2984\"\n                                           aria-label=\"Liste des medicaments\"\n                                           role=\"button\"\n                                           title=\"Liste des medicaments, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4394\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Standard<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le formulaire doit \u00eatre rempli quand le participant fait une demande d\u2019indemnit\u00e9 pour un m\u00e9dicament qui requiert une r\u00e9vision clinique avant d\u2019\u00eatre approuv\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2024\/11\/Standard-SpecAuthForm_French-.pdf?v=1731441451\"\n                                           class=\"claimsecure-form-download-button FR-4394 EN-2983\"\n                                           aria-label=\"Standard\"\n                                           role=\"button\"\n                                           title=\"Standard, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4397\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Liste de m\u00e9dicaments sp\u00e9cialis\u00e9s uniquement. Liste des m\u00e9dicaments qui peuvent \u00eatre class\u00e9s dans la cat\u00e9gorie \u00ab Autorisation sp\u00e9ciale requise \u00bb par le promoteur du r\u00e9gime \u2013 les participants au r\u00e9gime peuvent t\u00e9l\u00e9charger cette liste et la pr\u00e9senter \u00e0 leurs fournisseurs de soins de sant\u00e9.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/01\/specialty_drugs_approval_guidelines_FR-December-2024-FINAL-s.pdf?v=1738263993\"\n                                           class=\"claimsecure-form-download-button FR-4397 EN-2574\"\n                                           aria-label=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation\"\n                                           role=\"button\"\n                                           title=\"Lignes directrices pour les m\u00e9dicaments de sp\u00e9cialit\u00e9 et approbation, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                                        <button class=\"claimsecure-form-accordion claimsecure-form-accordion-d-Advisor,Member,Sponsor claimsecure-form-category-title \">\n                        <i class=\"fas fa-plus-square\"><\/i>\n                        <p class=\"forms-download-heading\">Questionnaires et Formulaires Sp\u00e9cialis\u00e9s<\/p>\n                    <\/button>\n\n                    <div class=\"claimsecure-form-panel\" style=\"\">\n                                                        <div class=\"claimsecure-form-subcontainer claimsecure-form-4269\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Questionnaire concernant un support de genou sur mesure<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour support de genou sur mesure. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_custom_knee_brace_fr-2002000-029A-CL-1-2026.docx?v=1768512381\"\n                                           class=\"claimsecure-form-download-button FR-4269 EN-2586\"\n                                           aria-label=\"Questionnaire concernant un support de genou sur mesure\"\n                                           role=\"button\"\n                                           title=\"Questionnaire concernant un support de genou sur mesure, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4348\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour lit d'h\u00f4pital. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_hosp_bed_assessment_fr-2002000-021A-CL-64.pdf?v=1738339736\"\n                                           class=\"claimsecure-form-download-button FR-4348 EN-2590\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant un lit d&rsquo;h\u00f4pital, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-4360\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\">Le questionnaire doit \u00eatre d\u00fbment rempli lors de la soumission d\u2019une estimation pour soins infirmiers. Assurez-vous d'indiquer toute l'information requise et de soumettre une estimation, avant approbation.<\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2022\/12\/sp_form_nursing_care_assessment_fr-2002000-022A-CL-64.pdf?v=1738340509\"\n                                           class=\"claimsecure-form-download-button FR-4360 EN-2594\"\n                                           aria-label=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers\"\n                                           role=\"button\"\n                                           title=\"Formulaire d&rsquo;\u00e9valuation concernant les soins infirmiers, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                                <div class=\"claimsecure-form-subcontainer claimsecure-form-8721\">\n                                    <div class=\"claimsecure-form-content\">\n                                        <div class=\"claimsecure-form-title\" role=\"heading\">\n                                            <label role=\"heading\">Formulaire de prestation \u00e0 co\u00fbt major\u00e9<\/label>\n                                        <\/div>\n                                        <div class=\"claimsecure-form-excerpt\">\n                                            <p role=\"heading\"><\/p>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"claimsecure-form-button\">\n                                        <a href=\"https:\/\/www.claimsecure.com\/wp-content\/uploads\/2025\/05\/formulaire_cout_majore_FR_2024_FINAL-es.pdf?v=1748538255\"\n                                           class=\"claimsecure-form-download-button FR-8721 EN-8705\"\n                                           aria-label=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9\"\n                                           role=\"button\"\n                                           title=\"Formulaire de prestation \u00e0 co\u00fbt major\u00e9, open a new window\"\n                                           target=\"_blank\" rel=\"noopener\">\n                                            <svg class=\"fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M448 304h-53.5l-48 48H448c8.822 0 16 7.178 16 16V448c0 8.822-7.178 16-16 16H64c-8.822 0-16-7.178-16-16v-80C48 359.2 55.18 352 64 352h101.5l-48-48H64c-35.35 0-64 28.65-64 64V448c0 35.35 28.65 64 64 64h384c35.35 0 64-28.65 64-64v-80C512 332.7 483.3 304 448 304zM432 408c0-13.26-10.75-24-24-24S384 394.7 384 408c0 13.25 10.75 24 24 24S432 421.3 432 408zM239 368.1C243.7 373.7 249.8 376 256 376s12.28-2.344 16.97-7.031l136-136c9.375-9.375 9.375-24.56 0-33.94s-24.56-9.375-33.94 0L280 294.1V24C280 10.75 269.3 0 256 0S232 10.75 232 24v270.1L136.1 199c-9.375-9.375-24.56-9.375-33.94 0s-9.375 24.56 0 33.94L239 368.1z\"><\/path><\/svg>\n                                            T\u00e9l\u00e9charger                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                        <\/div>\n\n    <div class=\"claimsecure-form-search-container\"><\/div>\n\n    <div id=\"category-slug\" data-slug=\"Advisor,Member,Sponsor\" style=\"display:none;\"><\/div>\n\n    <style>\n        .forms-download-heading{\n            font-weight: 700;\n            word-break: break-word;\n            color: #3E3F44;\n            font-size: 24px;\n        }\n    <\/style>\n\n    <script>\n        (function(){\n            var selected_class = 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Lorsque vous avez trouv\u00e9 le formulaire voulu, vous pouvez le t\u00e9l\u00e9charger au format PDF en [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","inline_featured_image":false,"footnotes":""},"class_list":["post-3525","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/pages\/3525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/comments?post=3525"}],"version-history":[{"count":77,"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/pages\/3525\/revisions"}],"predecessor-version":[{"id":8828,"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/pages\/3525\/revisions\/8828"}],"wp:attachment":[{"href":"https:\/\/www.claimsecure.com\/fr\/wp-json\/wp\/v2\/media?parent=3525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}