Keeping Alberta Affordable: Eligible seniors and families with children under 18 can apply for $600 affordability payments. Learn more and apply now
Benefit plan resources
MyCHOICE plan
- MyCHOICE Benefits Handbook (PDF, 1.4 MB)
- Benefit Partner Statutory Declaration (PDF, 51 KB)
- Enrolment/Change form (PDF, 471 KB)
- Premium Rates (PDF, 215 KB)
- Statutory Declaration (PDF, 124 KB)
1stchoice plan
- 1stchoice Benefits Handbook (PDF, 672 KB)
- Benefit Partner Statutory Declaration (PDF, 51 KB)
- Enrolment/Change form (PDF, 406 KB)
- Premium Rates (PDF, 631 KB)
- Statutory Declaration (PDF, 124 KB)
Group Life Insurance Plan
MyCHOICE plan
- Group Life Insurance Plan Handbook (PDF, 382 KB)
- Application and Declaration for Non-Smoker Rates (PDF, 278 KB)
- Application for Advance Payment of Group Life Insurance (PDF, 165 KB)
- Application for Conversion (PDF, 317 KB) (for payroll use only)
- Application for Paid up Life Insurance (PDF, 537 KB) (for payroll use only)
- Attending Physician's Statement (PDF, 148 KB)
- Certificate of Attending Physician Dismemberment of Loss (PDF, 111 KB)
- Claim for Accidental Dismemberment or Loss (PDF, 114 KB)
- Designation of Beneficiary (PDF, 261 KB)
- Evidence of Insurability (PDF, 503 KB)
- Group Life Claimant Statement (PDF, 68 KB)
- Group Life Plan Sponsor Statement (PDF, 66 KB)
1stchoice plan
- Group Life Insurance Plan Handbook (PDF, 459 KB)
- Application and Declaration for Non-Smoker Rate (PDF, 258 KB)
- Application for Advance Payment of Group Life Insurance (PDF, 165 KB)
- Application for Conversion (PDF, 2.0 MB) (for payroll use only)
- Application for Paid up Life Insurance (PDF, 375 KB) (for payroll use only)
- Attending Physician's Statement (PDF, 148 KB)
- Certificate of Attending Physician Dismemberment of Loss (PDF, 111 KB)
- Claim for Accidental Dismemberment or Loss (PDF, 134 KB)
- Designation of Beneficiary (PDF, 274 KB)
- Evidence of Insurability (PDF, 498 KB)
- Group Life Claimant Statement (PDF, 68 KB)
- Group Life Plan Sponsor Statement (PDF, 66 KB)
Dental Plan
MyCHOICE plan
- Dental Plan Handbook (PDF, 310 KB)
- Alberta Blue Cross Dental Claim form (PDF, 221 KB)
1stchoice plan
- Dental Plan Handbook (PDF, 512 KB)
- Alberta Blue Cross Dental Claim form (PDF, 221 KB)
Extended Medical Benefits Plan
MyCHOICE plan
- Extended Medical Benefits Plan Handbook (PDF, 405 KB)
- Alberta Blue Cross Health Services claim form (PDF, 159 KB)
- Alberta Blue Cross Emergency Out of Province / Country claim form (PDF, 903 KB)
1stchoice plan
- Extended Medical Benefits Plan Handbook (PDF, 203 KB)
- Alberta Blue Cross Health Services claim form (PDF, 159 KB)
- Alberta Blue Cross Emergency Out of Province / Country claim form (PDF, 903 KB)
Prescription Drug Plan
MyCHOICE plan
- Prescription Drug Plan Handbook (PDF, 258 KB)
- Alberta Blue Cross Health Services claim form (PDF, 159 KB)
1stchoice plan
- Prescription Drug Plan Handbook (PDF, 458 KB)
- Alberta Blue Cross Health Services claim form (PDF, 159 KB)
Long Term Disability Income Continuance (LTDI) Plan
MyCHOICE plan
- Long Term Disability Income Continuance Plan Handbook (PDF, 310 KB)
- Employee's Statement (DOC, 338 KB)
- Employer's Statement (DOC, 241 KB)
- Long Term Disability Income Continuance plan brochure (PDF, 496 KB)
- Long Term Disability (LTD) Contacts
- LTD Appeal Process: A hands-on guide and reference (PDF, 140 KB)
- Notice of Appeal (DOC, 115 KB)
1stchoice plan
- Long Term Disability Income Continuance Plan Handbook (PDF, 277 KB)
- Employee's Statement (DOC, 338 KB)
- Employer's Statement (DOC, 241 KB)
- Long Term Disability Income Continuance plan brochure (PDF, 496 KB)
- Long Term Disability (LTD) Contacts
- LTD Appeal Process: A hands-on guide and reference (PDF, 140 KB)
- Notice of Appeal (DOC, 115 KB)
Special Accidental Death and Dismemberment Insurance
- Appointment of Beneficiary form (PDF, 468 KB)
Was this page helpful?
You will NOT receive a reply on your feedback. Do NOT include personal information. To get answers to questions, use Alberta Connects.
Your submissions are monitored by our web team and are used to help improve the experience on Alberta.ca.