Forms & Documents

Forms

To enrol for benefits or to make a change, such as adding a new dependent	Retiree Enrolment form For Civil Service and Health PEI retirees For CUPE Retirees For all other retirees Retiree Health and Dental Change form Beneficiary Designation form Medical questionnaire
To submit a health claim	Health Benefits Claim form
To submit a dental claim	Dental Benefits Claim form
To submit an out-of-country expense claim	Statement of Claim Out-of-Country Expenses form
To request coverage for a brand name drug	Canada Life’s Request for Brand Name Drug Coverage form

Documents

For information about the plan and rate changes	Benefits Notices Issued March 2024 Issued March 2023 Issued March 2022 Issued March 2021 Issued February 2020 Issued February 2019 Issued February 2018 Issued February 2017 Issued February 2016 Issued February 2015 Issued February 2014
For quick reference of your benefits coverage	Benefits At-a-Glance
For information about your current rates	Retiree Benefits Rate Sheet
If you need a print copy of your benefits coverage	PSGIP: Retiree Booklet
For information about your travel coverage	TravelAssist brochure
For information about confidential services and support resources	Employee Assistance Program
For information on serving on the Retiree Advisory Committee	Expression of Interest Retiree Advisory Committee