Managing health care plans within the public service sector can often seem complex, but the 4197 PEC 55555 E 02 10 form aims to streamline the process of making essential amendments. This document facilitates significant changes for members of the Public Service Health Care Plan (PSHCP), particularly focusing on positive enrolment changes. Whether members need to add dependents, update contact information, or adjust their coordination of benefits, this form serves as a comprehensive tool to ensure their health care coverage accurately reflects their current needs. Available for completion online or via a paper submission, it provides a versatile option for members to manage their enrollment. The form includes sections for personal identification, information about dependents, spouse or common-law partner details, and a consent to release personal information. With instructions clearly outlined and support provided through Sun Life Assurance Company of Canada, users are guided through the process of submitting their changes efficiently. Additionally, the form reinforces the importance of confidentiality in handling personal information, aligning with the Personal Information Protection and Electronic Documents Act (PIPEDA). By offering a structured way to report changes, the form plays a crucial role in the administration of the PSHCP, ensuring members and their families receive the appropriate health care benefits.
| Question | Answer |
|---|---|
| Form Name | Form 4197 Pec 55555 E 02 10 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | PSHCP PE Change Form 4197 pe 55555 e 02 10 form |