BENEFIT FORMS & DOCUMENTS

The following information on the group benefits was created to provide information about your benefit plans. They are not legal documents. In the event of a question or dispute, the terms, and entitlements of the plan documents will prevail. Click on Link or copy and paste to read.

SHORT TERM DISABILITY PROGRAM

Application for Coverage

DENTAL CARE PLAN

Application for Coverage

Claim Form

Dependent Information Form

HEALTH CARE PLAN

VISION & HEARING PLAN

Extended Health Care Application for Coverage

List of Covered Drugs

List of Covered drugs and drug exception form link:-

Facts_covered_drug_list_all_employees_e

Claim Form - GM and above

Request for Drug Exception form/ List of Covered Drugs

Request for Coverage Airway Pressure Machine Assessment Form

Declaration of Full Time Studies for Over Age dependent Students

Dependent Information