Members
Use the free Adobe Acrobat Reader to download the form you need and submit your completed form through our secure online account, by fax (416-681-6175) or mail it to our corporate office address.
Canada Life Travel Assistance Card for Plan 169974.
Canada Life Travel Assistance Card for Plan 169494.
Canada Life Travel Assistance Card for Plan 157838.
Employers must complete this form to process a divestment of membership in the OPSEU Pension Plan.
Employers must complete this form to report the termination of membership in the OPSEU Pension Plan.
Complete this form if you are the spouse of a deceased member of the OPSEU Pension Plan and believe you are entitled to spousal survivor benefits.
Dentalcare claim for those who retired after 2016 and are part of the Pensioner Alternative Plan B1 (Policy 169974) Government-Paid Plan.
Healthcare Claim for those who retired before 2017 and are part of the Pensioner Legacy Plan A1 (Policy 157838) Original Plan.
Dentalcare claim for those who retired after 2016 and are part of the Pensioner Legacy Plan A2 (Policy 169494) Co-Pay Plan.