Completed forms should be sent directly to:

TWU-USW Employee Life and Health Plan
Suite #303 - 4603 Kingsway
Burnaby, BC V5H 4M4

Reception: 604-430-3300
Fax: 604-430-5395

• Download Western Provinces Benefit Plan Booklet
• Download Atlantic Provinces Benefit Plan Booklet
• Download Ontario Benefit Plan Booklet
• Download Quebec Benefit Plan Booklet - English
• Download Quebec Benefit Plan Booklet - French
• Download Cancellation of Coverage Form
• Download Waiver Card
• Download Application Form
• Download Designation of Beneficiary Card, All Provinces Excluding Quebec
• Download Designation of Beneficiary Card, Quebec Only - English
• Download Désignation ou modification de bénéficiaire, Quebec Only - French