Enrolment / Change Form
Complete the appropriate enrolment/change card to provide your Plan Administrator with your information.
Group Insurance Enrolment Form (English / French)
Group Insurance Change Form (English / French)
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 – Enrolment Form
- BC Construction Association (BCCA) Premium Plan – Enrolment Form
- BC Construction Association (BCCA) Basic Plan – Change Form
- BC Construction Association (BCCA) Premium Plan – Change Form
- BC Marine Industry Employee Health Benefit Plan
- Boilermakers Lodge 191 Welfare Plan & Pension Plan
- Bricklayers & Mason’s Local 2 Welfare Plan & Pension Plan
- Joint Electrical Industry’s Welfare Plan
- Heat and Frost Local 118 Health & Wellness Plan & Pension Plan
- Ironworkers Local 97 Health & Welfare Plan & Pension Plan
- Marine Workers Local 1 Health Benefit Plan & Pension Plan
- Machinists Lodge 692 Health & Benefit Plan & Pension Plan
- Machinists Fitters and Helpers Local 3 Welfare Plan
- Metal Industries-Steel Workers Insurance Plan
- Millworkers Health & Welfare Plan & Shopworkers Pension Plan
- Millworkers Health & Welfare Plan (UNIFOR) Fund
- NDT Industry Health Benefit Plan & Pension Plan
- Service Workers Local 99 Plan
