For Active Members

Loss of Life caused solely by external, violent, and accidental means.

Loss of Life caused solely by external, violent, and accidental means while on the premises of your employer.

Accidental Dismemberment caused solely by external, violent, and accidental means.

Accidental Dismemberment caused solely by external, violent, and accidental means while on the premises of your employer.

Replace lost wages in an event you missed work due to a death in the family or the birth of your child.

The goal of the Carmen Principato Scholarship Trust Fund is to assist the children of Local 506 Members in obtaining high-quality post-secondary education.

Claim for Critical Illness Diagnosis for Dependent Child Only – Cerebral Palsy, Congenital Heart Disease, Cystic Fibrosis, Down Syndrome, Muscular Dystrophy, Type 1 Diabetes.

Claim for Critical Illness Diagnosis – Bacterial Meningitis, Benign Brain Tumor, Coma or Stroke.

Claim for Critical Illness Diagnosis – Cancer.

Claim for Critical Illness Diagnosis – Heart Related Conditions.

Claim for Critical Illness Diagnosis – Kidney Failure Major Organ Transplant or Failure on Waiting List, or Aplastic Anemia.

Claim for Critical Illness Diagnosis – Loss of Sight, Hearing, Speech, Limbs, Independent Existence, Paralysis, Severe Burn.

Claim for Critical Illness Diagnosis – Neurologic Disorders.

Claim for Critical Illness Diagnosis – Occupational HIV Infection.

Claim for all dental care expenses.

Complete a direct deposit form to have your claim cheques deposited directly into your bank account.

Disabled and unable to work? Complete the Disability Self Pay Extension form to request to self pay for benefit coverage.

Claim a medical emergency while travelling.

Claim for all heath care expenses which includes prescription drugs.

Claim for your legal needs.

Group Legal Plan Enrollment form prior to claiming for all your legal needs.

Been hospitalized? Claim for a daily cash benefit for the duration of your hospital stay to cover for parking, room amenities, etc.

Replace lost wages in an event you missed work due to jury duty.

Claim in the event of a death.

If you remain totally disabled and have exhausted the Short-Term Disability Benefit.

Complete this Prior-Authorization form prior to claiming for medicinal cannabis.

Moving and looking to change your home address? Complete the Member Change of Address Form.

New Member Enrollment / Application card or to add / change existing dependents and beneficiaries.

If you require out of hospital home nursing.

Benefit coverage application for over-aged dependents that are unable to support themselves.

If you become totally and permanently disabled due to an accident.

Lost / Misplaced your Member Advantage Benefit Card? Complete the Replacement Benefit Card Application to request a new card.

The goal of the Carmen Principato Scholarship Trust Fund is to assist the children of Local 506 Members in obtaining high-quality post-secondary education.

Financial assistance if you are unable to work due to non-occupational injury or illness.

Physician to complete the Speech Therapy Medical Questionnaire for dependent children prior to incurring speech therapy claims. Benefit available to dependent children only.

Complete this form if you are transferring Locals and are moving your hour bank.

Claim for all vision care expenses.

Approved for W.S.I.B. and unable to work? Complete this Information Form for fund assistance and to request to self pay for benefit coverage.