Submit a form to apply for retirement health coverage

Send us a form to apply for extended health care and/or dental coverage when you apply for your pension – or any time after you've retired.


Complete the form

  1. Fill in the form online
  2. In Part 2, select the box beside the plan(s) you wish to enrol in: Extended Health Care, Essential Dental or Enhanced Dental
  3. If you are applying for coverage for your dependants, include the name(s) of your spouse and/or eligible children in Part 3
  4. Print, sign and date the form
  5. Send it to the Municipal Retiree Benefit Trust.

Another way

You can also apply for extended health care and dental coverage when you apply to retire online.


Eligibility

You can apply for retirement health care and dental coverage if you:

  • Are a permanent resident of Canada
  • Have medical coverage through a provincial health plan in the province where you live if you're applying for extended health care coverage
  • Are within 60 days of your retirement date, or if applying later, can provide proof of continuous coverage in a plan that has ended within the past 60 days

 

Your spouse and/or dependant(s) are eligible if they:

  • Are a permanent resident of Canada
  • Have medical coverage through a provincial health plan in the province where they live if they're applying for extended health care coverage
  • Are joining the plan within 60 days of your retirement date, or you can provide proof of their continuous coverage in a plan that has ended within the past 60 days

 

Note: A new spouse or dependent does not need to provide proof of continuous coverage; however, the application for coverage must be made within 60 days of the person becoming your spouse/dependent.

Required information

If you are applying for coverage 60 days or more after your retirement date, you must:

  • provide proof of continuous coverage with another provider that has been stopped and
  • enrol within 60 days of stopping that coverage.

You must provide the same proof for your spouse and eligible dependant(s) if you wish to enrol them as well.


Download the Pacific Blue Cross Application for Extended Health Care and Dental Benefits form (external link)

External links for extended health care coverage

Pacific Blue Cross

Medical Services Plan of BC

Related content for apply for or cancel coverage

Contact the Municipal Retiree Benefit Trust

Retirement health coverage premiums

Check your request

Did you know you can now check the status of your service request using Message Centre? You'll find the link on your My Account dashboard.

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