AUPE Benefit Enrollment Forms

Mandatory Forms 

Please fill out all 10 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. This form is to enroll into the Univeristy group benefits plan with Alberta Blue Cross. Your Extended health benefits start on the first day of work, your dental coverage is effective after your probation date. However, it can take about up to two weeks to get your card from Alberta Blue Cross. Please keep all receipts if you are using your benefits prior to getting your card. To see your benefits at a glance or to see the full benefit booklet, please see the Information section below.

PDF iconextended_health_and_dental_form.pdf

PDF iconalberta_blue_cross_direct_deposit_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. -

PDF iconbasic_life_insurance_form.pdf

 

3. These forms are to enroll into the mandatory Accidental Death & Dismemberment Insurance

PDF iconaccidental_death_dismemberment_form.pdf

PDF iconaccidental_death_dismemberment_aupe_form.pdf

 

4. These forms are to set up your payroll - 

PDF icondirect_deposit_form.pdf

PDF icontd1_alberta_form_2020.pdf

PDF icontd1_federal_form_2020.pdf

 

5. These forms are to enroll into the Public Service Pension Plan -

PDF iconpspp_designation_of_beneficiaries.pdf

PDF iconpspp_pension_partner_information.pdf

 

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

PDF icondomestic_partner_spousal_declaration_form.pdf

 

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 additional Accidental Death & Dismemberment Insurance. For more information, please contact human.resources@uleth.ca.

 

Information 

Link to view full benefit booklet: https://www.uleth.ca/hr/pension-and-benefits/alberta-union-provincial-employees-aupe-limited-term-and-apprentices

Setting up your Bridge account:

AUPE Collective Agreement