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Enrolment/Changes |
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 As
a Member of a Group Insurance Plan, the Plan
Administrator requires certain information from you in order to provide
your health coverage and ensure that any claims that you may submit are
processed correctly.
As a new Member to the Plan, please complete the Group
Insurance Enrolment
Card and Beneficiary Designation
to provide the Plan Administrator with the full information regarding yourself,
your selected beneficiary and all dependents that you wish to cover under
your Group Insurance Plan. If you wish to cover your common law spouse, you
may also need to complete the Common Law Spouse
Declaration. Finally, you must complete
the MSP Application for Group
Enrolment form if you wish to be covered for MSP under your
Plan.
If you are an existing Member of a Plan, you must notify the Plan Administrator
immediately if your personal information, dependent information or beneficiary
has changed in order to ensure that coverage is continued and claims are
assessed properly. If your personal information, dependent information or
beneficiary has changed, please complete the Group
Insurance Plan Change Card in full
to notify the Plan Administrator. You should complete the MSP
Group Change Form if
you are covered for MSP under your Plan and you want to add or
delete a dependent.
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