Member's Statement for Group Insurance

VICTORIA GOLD CORPORATION Member Information

Group Division Class Certificate
27375 1 001 733
DEVON SAGGERS
PO BOX 20812 STATION MAIN Gender Date of Birth
WHITEHORSE YT Y1A 6N8
Male 1980-11-20

Member Benefits
Benefits Coverage or volume

SPENDING ACCOUNT Family

ACCIDENTAL DEATH & DISMEMBERMENT $131,000
VOLUNTARY EMPLOYEE AD&D / EE OPT AD&D, NOT SELECTED Individual
Health Individual
Dental Individual
EMPLOYEE ASSISTANCE PROGRAM
LIFE INSURANCE $131,000
LONG TERM DISABILITY $3,296

Through My Client Space, our secured member site at ia.ca, you can access detailed information about your coverage, your claims and get
personalized claim forms upon the effective date of your coverage.

The information on this statement reflects your coverage details as of 2022-12-02.

iA Financial Group is a business name and trademark of Page 1 of 1
Industrial Alliance Insurance and Financial Services Inc.
ia.ca - 1 877 422-6487