If you need to enroll or update an employees information, or other declarations, download the appropriate NSCIP form below. If you have any questions or issues with a form, contact benefits@novascotiabenefits.com for more information.
Employee Forms
Hour Bank Plan Essential Forms
Use this form to enrol a new employee to your plan.
Use this form to update a covered employee’s information. Examples: Add new family members, change names, update salary, terminate coverage, etc.
Use this form:
- To designate your beneficiaries for Basic Life/Accidental Death, and/or Optional Life/Optional Accidental Death insurance
- At time of initial enrolment if you want to designate more than 3 primary beneficiaries
- To change your existing beneficiary(ies). The beneficiary(ies) listed here will replace your previous beneficiary designation
To continue coverage on your Extended Health and/or Dental plan beyond age 21 and up to the maximum age on your plan, your child must be:
- Unmarried / not living in a common-law relationship, and-Attending school on a full-time basis, as defined by Canada Revenue Agency, or-Disabled and incapable of sustaining employment – Contact us for instructions.
If your child is about to turn or has recently turned 21, is not married or living in a common-law relationship, and is a full-time student, please complete this Declaration (one per child) and return to us to continue coverage on your plan.
Complete this form to add or continue coverage of a dependent with special needs to your Green Shield Canada coverage.
Office Supervisory Plan Essential Forms
Use this form to enrol a new employee to your plan.
Use this form to update a covered employee’s information. Examples: Add new family members, change names, update salary, terminate coverage, etc.
Use this form:
- To designate your beneficiaries for Basic Life/Accidental Death, and/or Optional Life/Optional Accidental Death insurance
- At time of initial enrolment if you want to designate more than 3 primary beneficiaries
- To change your existing beneficiary(ies). The beneficiary(ies) listed here will replace your previous beneficiary designation
To continue coverage on your Extended Health and/or Dental plan beyond age 21 and up to the maximum age on your plan, your child must be:
- Unmarried / not living in a common-law relationship, and-Attending school on a full-time basis, as defined by Canada Revenue Agency, or-Disabled and incapable of sustaining employment – Contact us for instructions.
If your child is about to turn or has recently turned 21, is not married or living in a common-law relationship, and is a full-time student, please complete this Declaration (one per child) and return to us to continue coverage on your plan.
Complete this form to add or continue coverage of a dependent with special needs to your Green Shield Canada coverage.