Skip to main content

Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.

Home

PSHCP Positive Enrolment with Pre-authorized Debit Form  

Once you receive approval from Veterans Affairs Canada (VAC) to join the Public Service Health Care Plan (PSHCP), you must complete the Public Service Health Care Plan (PSHCP) for Veteran Affairs Canada Positive Enrolment & Pre-authorized Debit Form in order to start your health benefits coverage. You can do so by paper or online.  

This form will be used to: 

  • process your application for PSHCP health benefits coverage with Canada Life (for new VAC clients) 
  • update your address 
  • set up your contribution payments 
  • update your bank account information 
  • add, update or remove dependants   

Choose one of the options below: 

Print and complete the Public Service Health Care Plan (PSHCP) for Veterans Affairs Canada Positive Enrolment & Pre-authorized Debit Form. Once you have completed the form, mail it to:

Canada Life

BAS DG1227  

P.O. Box 6000 Stn Main 

Winnipeg, MB  R3C 3A5

Note: Incomplete forms or illegible forms will be mailed back to you for resubmission to Canada Life.

You can enrol online via the PSHCP Positive Enrolment webpage.  Completing positive enrolment online is quick and easy.  

PSHCP Positive Enrolment

If enrolment is not completed on time, your health benefits coverage may be terminated, and you will be required to reapply for coverage through VAC. Once you have reapplied, there will be a 3-month waiting period before your coverage is active. 
  • your dependants’ information including their date of birth 
  • information about any benefits: 
    • your spouse or common-law partner has through their employer 
    • you have through another employer 
  • your banking information to set up pre-authorized debit for your contribution payments 
  • a void cheque or printout with your banking information for the bank account that you would like us to use for direct deposit of your reimbursements (paper positive enrolment) 
  • your banking information to set up direct deposit of your claims reimbursements (digital positive enrolment)   

If you have positively enrolled and you need to update your bank account information for contribution payments: 

If you need to change your banking information for your contribution payments, this can only be done by paper. Please print and complete the Public Service Health Care Plan for Veterans Affairs Canada Personal Pre-Authorized Debit (“PAD”) Agreement Bank Account Change Form and then mail it to:   

Canada Life  

BAS DG1227  

P.O. Box 6000 Stn Main 

Winnipeg, MB  R3C 3A5 

How to sign up for direct deposit of claim reimbursements: 

If you would like to sign up for direct deposit to have your reimbursements automatically deposited in your bank account, please complete the PSHCP Direct deposit authorization form and follow the instructions below for your preferred method of submitting the form.  
 
Choose one of the options below:  

Print the PSHCP Direct deposit authorization form from the PSHCP Member Services website page or call the PSHCP Contact Centre to have the form sent to you and follow these steps:

  • Step 1 – Complete the PSHCP Direct deposit authorization form. 

  • Step 2 – Include a cheque marked “VOID”.

  • Step 3 – Mail the form and void cheque to:

Canada Life  

BAS DG1227  

P.O. Box 6000 Stn Main 

Winnipeg, MB  R3C 3A5
  • Step 1 – Sign in to your PSHCP Member Services account.
  • Step 2 – Go to Your profile and select Banking.  
  • Step 3 – Provide your banking information.