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