All eligible employees may apply for coverage by
completing the necessary forms following the instructions below.
You are responsible for providing accurate and timely enrollment information to maintain
uninterrupted coverage for yourself, your spouse and/or your dependents. Please review the dependent criteria to determine if your
spouse/dependent are eligible for coverage.
If you do not complete applications forms, you will not be enrolled on the benefit plans.
Follow the 3 steps below to successfully enroll for your benefits.
Benefits are an important part of your total compensation package providing security and
contributing to the quality of life for you and your family.
You complete this package if you are:
Read about your benefit options:
Download and complete the appropriate forms:
Send benefit forms to:
- Benefits Service Centre
Block E, 2261 Keating Cross Road
Saanichton BC V8M 2A5
Eligible employees starting the first calendar day of a month will have coverage for that
month. Eligible employees starting after the first calendar day of a month will commence coverage
the first of the following month.
If you and/or your dependents recently moved to BC, MSP requires a waiting period which consists
of the balance of the month in which your residence in BC is established, plus two months. For
further information, please see the MSP website at:
https://www.healthservices.gov.bc.ca/exforms/msp/167fil.pdf
If you are eligible for benefits upon application, your employer will pay the full premium for
this benefit. The employer-paid premium is a taxable benefit; therefore duplicate coverage will
mean an unnecessary tax expense to you, and extra costs to the employer. You should not enroll if
you are already registered elsewhere as an eligible dependent in the plan.
If you require coverage, please click on the link below, PRINT, fill out form and SIGN:
For regular employees, coverage begins on the first day of the month after you complete six
full calendar months of regular employment (in some cases this could be almost 7 months) and
register in the benefit plan. For auxiliary employees, you will be eligible on the 1st of the
following month after completion of the required auxiliary hours. For late registration, coverage
begins on the first day of the month after the carrier receives your Enrollment form.
If you complete the application form and are eligible for coverage, you will receive an
identification card mailed to your home address from Pacific Blue Cross once you become eligible.
It is recommended you do not visit the dentist/pharmacist until you have received your
identification cards confirming your effective date and eligibility. Please contact the Benefits
Service Centre if you have not received your identification cards or have questions regarding your
effective date.
Click on the link below, fill-in the form on-line, PRINT and SIGN:
Group Life Insurance is a compulsory benefit covering all regular full-time, regular part-time
and qualified auxiliary employees. Coverage begins on the first day the employee is eligible for
benefits.
All employees who are eligible for benefits must complete a Group Life Beneficiary Designation
Form. Please take the time to carefully consider who you designate as your beneficiary and remember
to update this document if your personal circumstances change in the future. For your information,
the group life benefit payment is non-taxable when paid to a named beneficiary. A benefit payment
made to an estate becomes part of the proceeds of the estate for tax purposes.
Click on the link below, fill in the form on-line, PRINT and SIGN:
Optional Spouse and Dependent Group Life Insurance Form
This optional feature under the Group Life Insurance Plan provides spousal coverage of
$10,000 and dependent coverage of $5,000 for
each dependent child. The beneficiary of this coverage is the employee. The current premium is $2
per month, regardless of the number of dependents. Coverage begins:
- the day you are eligible, if application is made before you are eligible; or
- the day the application is signed, if signed during the 90-day enrollment period; or
- the day the application is approved by Great West Life, if applied for after the 90-day
enrollment period. (Evidence of insurability and health will be required.)
Only complete this form if you have a spouse or dependents.
If you require coverage, click on the link below, fill in the form on-line, PRINT and SIGN:
|
Enrollment/Change/Termination Form (BCPSA 42 rev. 2003/03/18)
Group
Life Beneficiary Designation
