D.A. Townley & Associates Ltd.

 
 

health
benefits

        
   
   
 
 
 
 
 
   
 
 
 
 
 
 
 
    
    
    
 

Enrolment/Change Form

 

If you belong to any of the following plans, you cannot use these enrolment/change cards. These plans have custom cards and you must contact our office for the correct card or, if available, use the attached link to the correct form for your benefit plan.

 

BC Construction Association (BCCA) Basic Plan

BC Construction Association (BCCA) Premium Plan

BC Construction Association (BCCA) Basic Plan - Change Form

BC Construction Association (BCCA) Premium - Change Form

BC Marine Industry Employee Health Benefit Plan

Boilermakers Lodge 191 Welfare Plan

Bricklayers & Mason’s Local 2 Welfare Plan

Joint Electrical Industry’s Welfare Plan

Heat and Frost Local 118 Health & Wellness Plan

Ironworkers Local 97 Health & Welfare Plan

Marine Workers Local 1 Health Benefit Plan

Machinists Lodge 692 Health & Benefit Plan

Machinists Fitters and Helpers Local 3 Welfare Plan

Metal Industries-Steel Workers Insurance Plan

Millworkers Local 1928 Health & Welfare Plan

Millworkers Health & Welfare Plan CEP

NDT Industry Health Benefit Plan

Service Workers Local 99



 

Form Links
 
Group Insurance Enrolment Card
( PDF - 90 Kb) 
  
Group Insurance Enrolment Card - French
( PDF -124 Kb) 
 
 
Group Insurance Change Card
( PDF - 73 Kb)
 
Group Insurance Change Card - French
( PDF - 57 Kb)
 
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