By clicking the 'I agree' button, you indicate that you have read, understood and agreed to all of these terms and conditions. These terms and conditions apply to all the information provided within this online session and are subject to change without notice. I certify that I am responsible for all information provided online using my login identification and password. I authorize Cowan Insurance Group to collect, use, maintain and disclose personal information relevant to my file ("Information") for the purpose of group benefits plan administration, audit and the assessment, investigation and management of this enrolment ("Purposes"). I am authorized by my dependants to disclose and receive their Information, for the Purposes. I authorize any person or organization with Information, professional regulatory bodies, any employer, group plan administrator, insurer, investigative agency, and any administrators of the benefits program to collect, use, maintain and exchange this Information with each other and with Cowan Insurance Group, for the Purposes. I understand Cowan Insurance Group reserves the right to, revoke online enrolment privileges, and/or notify my plan sponsor should I provide false, incomplete or misleading information. I authorize the use of my group benefit plan certificate number for the purpose of identification and administration. I agree a photocopy facsimile or electronic version of this authorization shall be as valid as the original. I understand that Cowan Insurance Group's privacy policy is available at http://www.cowangroup.ca/privacy-policy. Any information provided to or collected by Cowan Insurance Group in accordance with this online authorization will be kept in a group benefits health file. Access to your information will be limited to:
- Cowan Insurance Group employees, representatives and service providers in the performance of their jobs;
- Persons to whom you have granted access; and
- Persons authorized by law.