Contact your employer or ASEBP case manager (Extended Disability Benefit recipients only) if you want to request a printed T4A but need to update your mailing address in My ASEBP.

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Phishing campaign targeting ASEBP covered members

ASEBP received notice that a phishing attempt is being made on covered members. This phishing campaign is being carried out by a bad actor that is not affiliated with ASEBP in any way.

The subject of these emails is related to benefits being suspended with an urgent message for recipients to click an “activate” button or their account will be terminated. These emails are using a false and misspelled ASEBP logo and originating from an email address that does not end in “@asebp.ca.”

Please use anti-fraud best practices in responding to any and all emails. If a phishing message contains links that you clicked and shared personal information through, you should change your password immediately and contact your IT department.

If you have concerns or questions about your ASEBP account, please contact a benefit specialist at benefits@asebp.ca or call toll free at 1-877-431-4786.

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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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