Modified : 15:38:12, 28-03-2018
Publication Date : 13:00:54, 07-03-2018
Application form for pension benefits
Return Adress: 2360 De La Salle, Suite 202, Montreal, QC H1V 2L1 PHONE: (514) 526-8280 FAX: (514) 526-0537 EMAIL: firstname.lastname@example.org
RE: Group Insurance – Enrolment, Employees of Securitas YUL Dear Sir or Madam, This concerns the group insurance plan to which you must subscribe through your employment with Securitas Transport Aviation Security Ltd.
When your probationary period ends, you must complete, sign and return the application form using the prepaid envelope as soon as possible. Under the Act of the Quebec drug insurance, any person who, because of an employment relationship and part of a group eligible for a group insurance contract with drug reimbursement, must mandatorily join the insurance group (and his dependents if any) and is not eligible for public RAMQ plan. It is your duty to notify the Régie de l'assurance maladie du Québec (RAMQ1 ) that you are now eligible for a private group insurance plan. You must specify the date your group coverage began (First working day). If the RAMQ has paid claimed drugs, it will send you an invoice that the insurer will reimburse you for eligible expenses. You will need to designate your beneficiary on this application. Failing to do so, the designation automatically will be «estate». Upon receipt of the document, all of your group insurance protections will be activated, and retroactive to your first day worked. You will receive your certificate by mail and will have to present it when you visit the pharmacy.
You will not have to send your claims by mail for drugs and dental expenses (if you qualify), because information will be transmitted directly to your insurer. For further information, please contact us or a representative of customer service of Industrial Alliance at 1 877 422-6487. Please accept our best regards.
Lucinda Luk Tong Encl. Insurance enrolment form TC Local 1976 – Steelworkers Pension enrolment form Tel : 514 526-8280, ext. 2034