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Join Our Upcoming MyRetiree Plan Webinars!

Explore the MyRetiree Plan's coverage options, plan details and exciting plan design changes.


Register for:

đź“… Thursday, October 24 at 5:30 PM

đź“… Saturday, November 2 at 10:00 AM

Register Now

Forms

Search for the form you're looking for by form type or select one from the links. Either way, the form you need is just a click away!

To ensure you're able to submit forms easily to us or your employer, we've made some of our forms fillable. If you see "fillable" written after a form name below, you guessed it—that means it's fillable!

While some forms you'll be able to complete and submit fully electronically, others may still require a physical signature, so be sure to read the instructions for each.

Drug Special Authorization Forms

All special authorization forms must be completed and signed by an authorized health care provider (e.g., physician, nurse practitioner, dentist, etc.). Find these forms online. If you have questions, contact a benefit specialist at 1-877-438-4545 or email benefits@asebp.ca. 

 

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