WELFARE FORMS
  PHARMACY DISPENSING REPORT (ONTARIO)
  PHARMACY DISPENSING REPORT (EXCLUDING ONTARIO)
PENSION FORMS
FREQUENTLY ASKED QUESTIONS
PERSONAL DISCLOSURE INFORMATION

FORMS

WELFARE FORMS

Member Information Card Welfare Plan

Member Information Change Form

Coordination of Benefits Form

Direct Deposit Application Form

No Break in Service Request

Pay Direct Contributions and Disability Notification

Supervisor Request Form

Weekly Indemnity Application part 1

Weekly Indemnity Application part 2

Claim Form Medical, Prescription Drugs and Vision Care

Claim Form Dental

Long Term Disability Claim Form

Death Claim Form

Physicians Recommendation For Nursing Services At Home

 

MEMBER & FAMILY ASSISTANCE PROGRAM
(Note: Your company name is
CANADIAN ELEVATORS INDUSTRY WELFARE PENSION)

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READ CAREFULLY, BUT REMEMBER…

This is a general outline of the Plans and its purpose is to explain as briefly and clearly as possible each of the benefits to which you are entitled. The benefits outlined under the Plans are subject to the terms and conditions of the Plan documents and Group Master Policies. If there is any conflict between this outline and the Plan documents and Group Master Policies, the Plan documents and Group Master Policies will apply in all cases. Also remember that no benefits are guaranteed and that the benefits can be changed by the Trustees at any time.

 
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