Gain of Spousal Coverage

A Plan Member can waive his or her right to health and dental benefits under the program if comparable spousal coverage is available (this is the only acceptable reason to waive coverage). If comparable coverage terminates or reduces at a later date, you may apply for health and dental coverage within 31 days of that coverage terminating/reducing without requirement of Evidence of Insurability.

1. Plan Administrator must complete Section 1,2 and 4 of the Enrolment Form.

Both the Plan Member and Plan Administrator must sign the Form in Section 6.