Java script has been disabled in your browser, please check if the URL in address bar is '/en/common/Administration/dependents.asp' Changing Plan Member's Coverage

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Changing Plan Member's Coverage

Adding or Deleting Dependents

  1. Plan Administrator completes Sections 1, 2 and 11 of the Change Form by indicating the Plan Member's ID, name, effective date of change etc. and signs the form
  2. Plan Member completes applicable information in Section 11 and 12 of the Change Form and signs the form
  3. Return a copy to:
    Morneau Shepell
    895 Don Mills Road, CPAG
    Toronto ON M3C 1W3
  4. You can also fax to 1.877.464.0109 or scan and email to
  5. Retain the original for your files