Forms & Resources

Access all the forms, brochures, and resources you need for your ClearBenefits plan. Find everything from enrollment forms to claim submissions and program information.

Links and Resource Materials

Co-operators Forms

Employee Enrolment Form
Health Evidence Questionnaire
Out Of Country Travel Brochure
Plan Member User Agreement Guide
Student Eligibility Form
Request for Pre-Authorized Debit Form – PAD
Cost Plus – Flyer
Cost Plus – Claim Form
Health Care Spending Account (HSA) – Brochure

General Forms

Administration Assistant – Top 10 Service Topics
Trucking Industry Eligibility Fillable Form
Contract Employees Criteria

Group Benefits – Program Information & Quote Forms

Program Information

Quote Request Form – PDF
Coverage Supplement
Understanding Your Experience Rated Renewal

Account Access - Plan Member

Plan Member link
Plan Sponsor Link
Group Retirement Enrolment Site

Drug Prescription Programs – Resources

Pharmacare & Drug Programs

Fair Pharmacare Plan – Registration Form
Fair Pharmacare Plan – Website
BC PharmaCare Formulary Search
Rxhelp.ca – Drug Programs – Patient Payment Assistance Programs

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