Human Resources - Employee Benefits

Employee Benefits Forms

Benefits Forms

• Benefits Change Forms
• Benefits Claim Forms

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Claim Forms

The following claim forms are submitted directly to Manitoba Blue Cross:

• Ambulance/Medical Transfer Service Claim Form
• Dental Claim Form
• Extended Health Benefits Claim Form
• Group Travel Health Plan Claim Form
• Health Spending Account Claim Form
  
• Vision Care Claim Form

The following claim form is submitted to Human Resources:

• Wellness & Sustainability Claim Form

2012 Claim Deadline: Claim forms must be received by Human Resources no later than Friday, December 7, 2012.*

*Due to the taxable nature of the program, current year claims must be submitted for reimbursement in time to be processed for the final pay of the year.

Note: If you are making a claim for a Duckworth Centre membership that is being paid by payroll deduction, do not submit the claim form until the total amount of the deductions have reached the claim amount.

Information regarding Wellness & Sustainability claim items:

• Tax Credit for Public Transit Passes
• Summary of Carbon Offsets
• Types of Carbon Offsets

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Change Forms

Do you need to change your beneficiary designation? add or remove a dependent? add a trustee? change your address?

Please submit all change forms to Human Resources. 

• Health Plans Change Form

• Life Insurance Beneficiary Change Form

• Pension Death Benefit Spousal Waiver Form

• DC Pension Beneficiary Change Form
• DC Pension Appointment of Trustee Form

• DB Pension Beneficiary Change Form

• Change of Address