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ACTIVE PLAN
Health Benefits Enrollment, Beneficiary and Change Forms
Group Benefits Enrolment Form (Extended Health and Dental)
(PDF)
Complete this form to enroll in the benefits plan.
60+ Health Plan Opt-In and Beneficiary Form
(PDF)
Complete this form to enroll in the Benefits of Film 60+ Plan
Group Change Form (Extended Health and Dental)
(PDF)
Report changes, including addition or deletion of a family member, if you are enrolled under the group plan.
Beneficiary Designation form
(PDF)
To add a beneficiary to your life insurance.
Extended Health and Dental
Healthcare Expenses Statement With Healthcare Spending Account M635D-HCSA-W
(PDF)
Reimbursement of health care expenses, i.e. physio, massage therapy, chiropractor etc. (Active Group Number 58197, Retiree Group Number 58198)
Dentalcare Expenses Statement With Healthcare Spending Account M445D-HCSA-W
(PDF)
Reimbursement of dental expenses. (Active Group Number 58197, Retiree Group Number 58198)