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Dependant eligibility verification program -
Annual student review program
The purpose of the Dependant Eligibility Verification Program is to validate that the enrolled dependant(s) are eligible for coverage according to the terms of the Public Service health and dental benefits.
You are being contacted to provide supporting documents to validate that your enrolled dependant(s) meet the eligibility criteria under the Public Service health and dental benefits.
You were randomly selected from the pool of Public Service health and dental benefits plan members who have enrolled dependants.
Once you have validated the eligibility of your dependant(s) for coverage under the Public Service health and dental benefits, you will not be required to validate the same dependant(s) through the Dependant Eligibility Verification for at least five (5) years.
If you do not respond to this request, the processing of claims for your eligible dependant(s) may be suspended or coverage may be terminated until the required documents are received and eligibility is validated.
To validate the eligibility for your child dependant(s), provide one of the following supporting documents for each dependant child:
- a copy of their birth certificate (for a biological child)
- a copy of their passport
- a copy of their legal adoption documentation
- a copy of their or your provincial health card showing that your dependant is listed on the card
- a copy of your custodial or guardianship documentation for a child
To validate the eligibility for a spouse or common-law partner, provide one of the following supporting documents:
- a copy of your marriage certificate
- a legal affidavit
- a copy of their active driver’s license or their provincial health card showing the same last name or the same residential address (to demonstrate cohabitation)
- a copy of joint bank or credit accounts
- a copy of jointly signed residential lease or mortgage or purchase agreements
- a copy of a utility bill or invoice in their name showing your address
Note: If none of these documents are available to confirm your partner’s status, you must complete and return a Declaration of Marital Status form.
Be sure to send us copies, not the original documents.
Once we receive your supporting documents, we will review them to validate the eligibility of your dependant(s) and advise you of the results. If we determine that a dependant is no longer eligible for coverage, we will advise you and terminate their coverage.
It is possible we received your documents around the same time we sent you the follow-up communication. If you want to confirm that Canada Life has received your documents, please call the Member Contact Centre for inquiries within North America (toll-free) at 1-855-415-4414, Monday to Friday from 8 am to 5 pm, your local time, or for international inquiries (collect) at 1-431-489-4064, Monday to Friday from 8 am to 5 pm, ET.
If you no longer require family coverage under PSHCP, you can change your level of coverage from Family to Single:
- As an active employee, you can amend your coverage type through the secure online (CWA).
- If you cannot access the CWA, you can complete a paper application form and submit it to your departmental compensation office or Pay Centre.
- As a retired member, you can submit a paper application form to your Pension Centre or pension office.
It is possible that, between the time you were selected to participate in the Dependant Eligibility Verification Program and the time you are receiving the request, the dependant(s) listed in the validation request are no longer eligible for coverage. If a dependant is no longer eligible, you must still submit the supporting documents requested so that we can validate the eligibility of the dependant(s) at the time you were selected to participate in the Dependant Eligibility Verification Program. You can then remove them from your plan(s) by updating your positive enrolment information through one of the following methods:
- Online: You can sign in or create your Member Services account through My Canada Life at WorkTM to remove the dependant from your plan(s). This is done by selecting the icon on the upper right corner, choose Your profile, then Dependants and other coverage.. OR
- By mail: You can remove your dependant(s) by providing the effective date of removal in writing to Canada Life at:
The Canada Life Assurance Company
Eligibility Verification
PO Box 6000 Stn Main
Winnipeg MB R3C 3A5
If the dependant(s) must be removed from multiple plans, update each dependant listing section for all plans that are affected.
To remove the suspension, respond to the Dependant Eligibility Verification Program request by submitting the required documentation to Canada Life. Once we have validated the eligibility of your dependant(s), the suspension will be removed and we will process any claims you submitted during the suspension.
If your dependant(s) no longer require coverage for your PSHCP, there is nothing you need to do. The request will no longer appear in the Immediate action required section of the Overview page of your account through My Canada Life at WorkTM.
If your eligible dependant(s) still require coverage, you will have to request that their coverage be restored. Before we can restore coverage to your eligible dependant(s), we must validate that they are eligible under the plan(s). To do that, we will require that you submit a completed positive enrolment form along with copies of the supporting documentation required to validate the eligibility of your dependant(s).
As the dependant(s)’ coverage has been terminated and this review is no longer available online, you are not able to respond through the Immediate action required section of your account through the Member Services website. You must submit the completed positive enrolment form and copies of the supporting documentation by mail. To have your eligible dependant(s)’ coverage restored, you will need to:
- Download and print a paper positive enrolment form from the Your forms page of the Member Services website. You can also request a paper form to be mailed to you by calling the Member Contact Centre.
- Complete and sign the positive enrolment form, which includes information on your eligible dependant(s).
- Gather the supporting documentation required to validate the eligibility of your dependant(s).
- Mail the completed positive enrolment form and copies of supporting documentation to Canada Life using the address found at the top of the positive enrolment form.
If you believe an error has occurred or that someone added dependant(s) without your consent, please call the Member Contact Centre at 1-855-415-4414 (toll-free), Monday to Friday from 8 am to 5 pm, your local time within North America, or for international inquiries (collect) at 1-431-489-4064, Monday to Friday from 8 am to 5 pm, ET.
If you have any questions, please visit your Member Services account through My Canada Life at Work™ or call the Member Contact Centre for inquiries within North America (toll-free) at 1-855-415-4414, Monday to Friday from 8 am to 5 pm, your local time, or for international inquiries (collect) at 1-431-489-4064, Monday to Friday from 8 am to 5 pm, ET.
The purpose of the Annual Student Review Program is to validate that the enrolled dependant(s) are eligible for coverage as a full-time student according to the terms of the Public Service health and dental benefits.
You are being contacted to provide supporting documents to validate your enrolled dependant(s) meet the eligibility criteria under the Public Service health and dental benefits as a full-time student. To be eligible, your full-time student dependant(s) must be between 21 and 25 years of age and attending an accredited school, college or university on a full-time basis.
You were selected to participate in the Annual Student Review because claims have been submitted for your full-time student dependant(s) over the past year.
You will be asked to validate the full-time student status every year that claims are submitted for your full-time student dependant(s) until they are no longer eligible for coverage.
If you do not respond to this request, the processing of claims for your full-time student dependant(s) may be suspended or coverage may be terminated until the required documents are received and the full-time student status is validated.
These are the documents required to validate the status of your full-time student(s):
- most recent registration documents from the educational institution
- most recent tuition receipts from the educational institution
- confirmation of full-time attendance on the letterhead of the educational institution
Please send us copies for 1 of the examples above, not the original documents.
Once we receive your supporting documents, we will review them to validate the status of your dependant(s) as a full-time student and advise you of the results. If we determine that a dependant is no longer eligible for coverage, we will advise you and terminate their coverage.
It is possible we received your documents around the same time we sent you the follow-up communication. If you want to confirm that Canada Life has received your documents, please call the Member Contact Centre for inquiries within North America (toll-free) at 1-855-415-4414, Monday to Friday from 8 am to 5 pm, your local time, or for international inquiries (collect) 1-431-489-4064, Monday to Friday from 8 am to 5 pm, ET.
If you no longer require family coverage, you must still submit the supporting documents requested so that we can validate the eligibility of the full-time student(s) at the time you were selected to participate in the Annual Student Review Program.
If you no longer require family coverage under PSHCP, you can change your level of coverage from Family to Single:
- As an active employee, you can amend your coverage type through the secure online (CWA) at tpsgc-pwgsc.gc.ca/remuneration-compensation/services-paye-pay-services/index-eng.html. If you cannot access the CWA, you can complete a paper application form and submit it to your departmental compensation office or Pay Centre.
- As a retired member, you can submit a paper application form to your Pension Centre of pension office.
It is possible that, between the time you were selected to participate in the Annual Student Review Program and the time you are receiving the request, the full-time student dependant(s) listed in the review request are no longer eligible for coverage as a full-time student.
If a full-time student dependant is no longer eligible, you must still submit the supporting documents requested so that we can validate the eligibility of the dependant(s) at the time you were selected to participate in the Annual Student Review Program. You can then remove them from your plan(s) by updating your positive enrolment information through one of the following methods:
- Online: You can go online to sign in or create your Member Services account through My Canada Life at WorkTM to remove the dependant from your plan(s). This is done by selecting the icon on the upper right, choose Your profile, then Dependants and other coverage.
OR
- By mail: You can remove your dependant(s) by providing the effective date of removal in writing to Canada Life at:
The Canada Life Assurance Company
Eligibility Verification
PO Box 6000 Stn Main
Winnipeg MB R3C 3A5
If the dependant(s) must be removed from multiple plans, update each dependant listing section for all plans that are affected.
To remove the suspension, respond to the Annual Student Review Program request by submitting the required documentation to Canada Life. Once we have validated the status of your full-time student dependant(s), the suspension will be removed and we will process any claims you submitted during the suspension.
If your dependant(s) no longer require coverage for your PSHCP, there is nothing you need to do. The request will no longer appear in the Immediate action required section of the Overview page of your account through the Member Services website.
If your full-time student dependant(s) still require coverage, you will have to request that their coverage be restored. Before we can restore coverage to your full-time student(s), we must validate that they are eligible under the plan(s). To do that, we will require that you submit a completed positive enrolment form along with copies of the supporting documentation we require to validate the eligibility of your full-time student(s).
As the full-time student(s) coverage has been terminated, you are no longer able to respond through the Immediate action required section of your account through the Member Services website. You must submit the completed positive enrolment form and copies of the supporting documentation by mail.
To have your full-time student(s)’ coverage restored, you will need to:
- Download and print a paper positive enrolment form from the Your forms page of the Member Services website. You can also request a paper form to be mailed to you by calling the Member Contact Centre.
- Complete and sign the positive enrolment form, which includes information on your full-time student(s).
- Gather the supporting documentation required to validate the eligibility of your full-time student(s).
- Mail the completed positive enrolment form and copies of supporting documentation to Canada Life using the address found at the top of the positive enrolment form.
If you believe an error has occurred or that someone added a dependant without your consent, please call the Member Contact Centre at 1-855-415-4414, Monday to Friday from 8 am to 5 pm, your local time within North America or at 1-431-489-4064 (collect), Monday to Friday from 8 am to 5 pm, ET, from outside North America.
If you have any questions, please sign in to your Member Services account through My Canada Life at Work™ or call the Member Contact Centre for inquiries within North America (toll-free) at 1-855-415-4414, Monday to Friday from 8 am to 5 pm, your local time, or for international inquiries (collect) at 1-431-489-4064, Monday to Friday from 8 am to 5 pm, ET.