APO Group Benefit Enrollment Forms

Mandatory Forms 

Please fill out all 7 forms below and return them to Human Resources. If you have any questions with filling out the forms, please contact Helena Lang or Krystal Davis at human.resources@uleth.ca. If you have specific questions regarding your benefits, please contact Adriana Ota at adriana.ota@uleth.ca

1. These forms are to enroll into the Univeristy group benefits plan with Alberta Blue Cross -

PDF iconextended_health_and_dental_form.pdf


2. This form is to sign up for your mandatory basic life insurance through Great West Life. The rate sheet will be found in your welcome email. -


3. These forms are to set up your payroll - 


4. This form is to enroll in the Universities Academic Pension Plan -


5. This form is only needed if you have a partner and/or you cannot find your marriage certificate.  


Optional Benefit Forms 

1. You have the option to purchase additional life insurance on top of the mandatory basic life insurance. For more information, please contact human.resources@uleth.ca.

2.  You have the option to purchase Accidental Death & Dismemberment Insurance. For more information, please contact human.resources@uleth.ca.



Your benefits at a glancePDF icondiv_3_-_benefits_at-a-glance.pdf

APO Employee Manual