Monthly Premiums are based on the number of employees in a group. (A group consists of 100% participation per classification of employees with optional Spousal and Children coverage) How to Apply OPTIONAL SPOUSE: $18.90/Spouse, per month OPTIONAL CHILDREN: $10.00/employee per month OPTIONAL SPOUSE: $14.50/Spouse, per month OPTIONAL CHILDREN: $10.00/employee per month OPTIONAL SPOUSE: $11.60/Spouse, per month OPTIONAL CHILDREN: $10.00/employee per month Note: all DSAI cheque payments should be made payable to: Industrial Alliance Insurance and Financial Services Inc. Claims: 1-866-515-1627 © 2012 Acure Health Corp. All rights reserved. Box 61164 Kensington RPO, Calgary, AB  T2G 1R7 Email: info@acurehealth.com