Submit a form to apply for retirement health coverage

Send us a form to apply for extended health care and/or dental coverage when you apply for your pension – or any time after you've retired.

Submit the form

Print the form
In part 2, select the box beside the plan(s) you wish to enrol in: Extended Health Care, Essential Dental or Enhanced Dental
If you are applying for coverage for your dependants, include the name(s) of your spouse and/or eligible children in part 3
Print, sign and date the form
Submit the form to BC's Public Service Pension Plan

Another way to apply

You can also apply for extended health care and dental coverage when you apply to retire online.

Eligibility

You can apply for retirement extended health care and dental coverage online if you:

Are a permanent resident of Canada
Have medical coverage through a provincial health plan in the province where you live (if you're applying for extended health care coverage)
Apply within 60 days of your pension effective date or have had continuous coverage in a different plan (if you are applying after the 60-day period has ended)

Your spouse and/or dependant(s) are eligible if:

You are eligible for coverage under the plan
They have medical coverage through a provincial health plan in the province where they live
They are joining the plan within 60 days of your pension effective date or have had continuous coverage in a different plan (if they are applying after this 60-day period has ended)

Required information

If you are applying for coverage for you, your spouse and/or eligible dependant(s) 60 days or more after your pension effective date, check the Green Shield Canada My Benefit Plan booklet to see if you meet the eligibility criteria.