Access the essential forms you need to manage your plans day to day, including employee enrolment and change requests, also available in your benefits portal.
Important forms for your ICBA Benefits plan
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Overage Dependent Student DeclarationTo continue coverage on your extended health and/or dental plan beyond age 21 and up to the maximum age on your plan.
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Employee EnrolmentUse this form to enroll a new employee in your plan.
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Employee Change Form
Use this form to update a covered employee’s information. Examples: Add new family members, change names, update salary, terminate coverage, etc.
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Amendment to Coverage StatusIf your health or dental coverage situation changed—either declining because you now have another plan (like a spouse’s), or enrolling because prior coverage ended—this form updates your status.
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Confirmation of PharmaCare RegistrationComplete this form to confirm that you are registered for BC Fair PharmaCare.
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Beneficiary Designation
Use this to manage life insurance beneficiaries: adding more than three at enrolment, or updating and replacing an existing beneficiary designation.
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Important forms for your Hour Bank plan
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Employee Change Form
Use this form to update a covered employee’s information. Examples: Add new family members, change names, update salary, terminate coverage, etc.
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Beneficiary Designation
Use this to manage life insurance beneficiaries: adding more than three at enrolment, or updating and replacing an existing beneficiary designation.
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Employee EnrolmentUse this form to enroll a new employee in your plan.
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Annual Student DeclarationTo continue coverage on your extended health and/or dental plan beyond age 21 and up to the maximum age on your plan.
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Dependent with Special Needs EligibilityComplete this form to request the addition and/or continuation of coverage of a dependent with special needs to your plan.
Looking for a different form?
If you can’t find the form you’re looking for on our website, we’re here to help. Many documents and resources are available anytime through your Bridge Portal, where you can search, download, or save the exact form you need. If the item you’re looking for isn’t listed online or you’re unsure where to locate it, our team can provide it directly. You can reach us by phone or email to request a copy, ask questions, or get guidance in choosing the right document for your situation. We’ll make sure you get what you need quickly so you can keep your work moving forward.
Upgrade Your Benefits Experience
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