Forms

REMINDER: any eligible 2020 expenses must be submitted to their appropriate offices by JUNE 30, 2021 no exceptions!!

MEDICAL EXPENSE CLAIM FORM (Click here)
Eligible 2020 expenses due JUNE 30, 2021 – NO EXCEPTIONS.
Print, complete and mail WITH original receipts to Coughlin & Associates: PO BOX 764, Winnipeg, MB, R3C 2L4.

DENTAL CLAIM FORM (Click here)
Print, complete and mail WITH original receipts to Coughlin & Associates: PO BOX 764, Winnipeg, MB, R3C 2L4.

VISIONCARE CLAIM FORM (Click here)
Eligible 2020 expenses due JUNE 30, 2021 – NO EXCEPTIONS.
Print & complete form, email WITH receipts to:  info@plumbers.bc.ca  or  jaime@plumbers.bc.ca
OR   Print & complete form, mail WITH original receipts to the Welfare Office: #203-1658 Fosters Way, Delta, BC, V3M 6S6.

65+ MEMBERS:  SPECIAL SENIOR MEMBER (SSM) CLAIM FORM (Click here)
Eligible 2020 expenses due JUNE 30, 2021 – NO EXCEPTIONS.
Print & complete form, email WITH receipts to:  info@plumbers.bc.ca   or   jaime@plumbers.bc.ca
OR   Print & complete form, mail WITH original receipts to the Welfare Office: #203-1658 Fosters Way, Delta, BC, V3M 6S6.
CURRENT BENEFIT:  $35/calendar year maximum for prostate testing + $900/calendar year maximum.

PRE-AUTHORIZED DEPOSIT FORM – Plumbers Local 170 (for Visioncare, HSA and Special Senior Member claims to be directly deposited)
Print, complete and return form to:  info@plumbers.bc.ca   or   jennifer@plumbers.bc.ca
OR
   Print, complete and return to the Welfare Office: #203-1658 Fosters Way, Delta, BC, V3M 6S6.

 

Medical Services Plan (BC MSP) Premium ELIMINATION January 01, 2020:
Medical Services Plan (MSP) premiums have been eliminated effective January 01, 2020.
For more information, visit the Canadian Government Medical Services Plan website, click here:  https://www2.gov.bc.ca/gov/content/health/health-drug-coverage/msp/bc-residents/msp-premium-elimination-jan-1-2020