Benefits for member employers and their employees: forms and documents
Collection of forms and documents for participating member employers and their employees.
This collection provides the benefit forms, documents and costs for administrators of member employers and their employees who participate in the Government of Nova Scotia benefits plan.
Benefits plan information
Benefits administration guide for member employersGuidelines on how to administer group health, dental and life insurance plans for participating member employers.
Employee benefits overview: member employersSummary of Health and Dental Plan coverage for employees of participating member employers.
Health and Dental Plan benefits for active employees of participating member employersHospital benefits, extended health benefits, drug benefits, dental benefits, travel benefits and exclusions.
Life insurance benefits overview: member employersSummary of group life insurance coverage for employees of participating member employers.
Forms
Apply for health and dental coverage for an over age dependent child: member employersYou can apply for health and dental coverage for your dependent child if they’re a student between the ages of 21 and 24.
Apply for optional life insurance coverage: government employeesApply for optional life insurance coverage for you, your eligible spouse and eligible dependent children if you’re an employee of the Government of Nova Scotia.
Enroll in the Health and Dental Plan or make changes to the status of your planApply to enroll in the Health and Dental Plan or make changes to the status of your plan. This includes adding or deleting dependents from your plan.
Nominate beneficiaries for your basic and optional life insurance plansNominate beneficiaries, appoint contingent beneficiaries and nominate trustees for minor beneficiaries for your basic and optional life insurance plans.
Costs
Basic and optional life benefit plan costs: government employees and retireesCosts for group basic and optional life benefit plans for government employees and retirees.
Health and Dental Plan costs: government employees and retireesPremium costs for the Health and Dental Plan for government employees and the Retired Employee Health Plan for retirees.
Contracts
Health and Dental Plan ContractProducts and services payable under the Health and Dental Plan, as well as who can participate in the plan.
Life insurance policy: government employeesAgreement between the Government of Nova Scotia and Sun Life for group term life insurance, as well as who can participate in the policy.
Related information
- Disabled Child Coverage Form for child optional life insurance
- Medavie Blue Cross claim forms
- Medavie Blue Cross Mobile (app for iOS and Android devices)
- Nova Scotia Public Service Long Term Disability Plan
- Nova Scotia Pension Services Corporation
- Special Dependent Questionnaire - Medavie Blue Cross