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.

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 plan

If you are applying for coverage 60 days or more after your retirement date, you will also need to provide proof of continuous coverage under another extended health care or dental plan. You will need to provide the name of the insurance company, the group/policy number and your ID or certificate number.

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 you can provide proof of continuous coverage in a comparable plan if you are applying after this date

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 comparable plan if they are applying after this date