Forms

 
 

Contact Information

A.R.M. Management Ltd.,
Suite 201, 4853 Hastings St.,
Burnaby, BC, V5C 2L1
Phone (604) 294-4441
Toll Free 1-800-661-2766
Fax: (604) 294-0476

Office Hours:
Mon. to Fri. 8:30am - 4:00pm
Closed: Saturday, Sunday & Holidays

Please Note:
The Office will close at Noon on the Friday preceeding a Long Weekend May through September

 


 

BCHA UNITE HERE Local 40 and
UNITE HERE Local 40 Camp, Culinary & Non-aligned Employees
Health Care Plan
Enrollment Applications and Claim Forms

 

  Please note that all Forms on this Website that require a signature (from Plan Member; Physician; Employer)
  can be completed on-line but must be printed, signed and dated prior to mailing to A.R.M. Management Ltd
.  

Paid Vacation Notice

  This Paid Vacation Notice should be completed and submitted to A.R.M. Management Ltd., to notify the Plan Administrator of your annual paid vacation absence from work so that your Health Care Plan coverage may continue at the benefit level you enjoyed when your annual paid vacation commenced.

Medical Services Plan of BC Enrollment Application

  The Medical Services Plan of BC Enrollment "Application for Group Entitlement" must be fully completed and submitted to A.R.M. Management Ltd., so that the Plan Administrator can commence your MSP of BC coverage once you have established your Health Care Plan eligibility.
 
 

Premium Assistance Application for the MSP of BC

  The Medical Services Plan of BC coverage is a taxable benefit and as such the Plan Trustees encourage all members to complete and submit a Premium Assistance Application along with their MSP of BC enrollment application so that the member may take advantage of the premium assistance offered by the Provincial Government thereby reducing the income tax the member will pay each year.
 
 
   

Health Care Plan Enrollment and Beneficiary Designation Form

  The Health Care Plan and Pension Plan Enrollment Application and Beneficiary Designation Form must be completed by all Plan members and submitted to A.R.M. Management Ltd., in order to provide the Plan Administrator with the personal information necessary to enroll you, and where applicable your dependents, in the Health Care and/or Pension Plans.
 
 

Change of Beneficiary and/or Addition of a New Dependent

  This Change of Beneficiary Form should be fully completed and submitted to A.R.M. Management Ltd., to change your Health Care Plan and/or Pension Plan Beneficiary. Please note that if you are married or have a common-law spouse, your spouse must be the named beneficiary for your Pension Plan but you can name any person as the beneficiary of your Health Care Plan death benefits and/or life insurance.
 
 
 

MSP of BC Group Change Form (Add/Remove a dependent to or from your MSP of BC coverage)

  This MSP of BC Group Change Form should be fully completed and submitted to A.R.M. Management Ltd., when you wish to add or remove a dependent from your Medical Services Plan of BC coverage.

Accident & Sickness (Short Term Disability-Wage Loss) Benefit Claim Form

  This Accident & Sickness Benefit claim form should be completed and submitted to A.R.M. Management Ltd., if you become disabled from your regularly scheduled employment and the disability is not the result of a work place accident or injury. We strongly recommend that you contact A.R.M. Management Ltd., to confirm that you are eligible for the Accident & Sickness Benefit prior to having the claim form completed as your physician may charge you for completing the claim form. Please be sure to read the claims procedure that is outlined in this document.

Extended Health Care Benefit Claim Form

  This Extended Health Care Benefit claim form should be completed and submitted to A.R.M. Management Ltd. Please include the original receipts of the item(s) you are submitting for reimbursement from the Health Care Plan.

Drug Card Replacement

  This Drug Card Replacement Request form should be completed and submitted to A.R.M. Management Ltd. A replacement Drug Card can be provided in approximately 2 weeks from the time A.R.M. Management Ltd. receives the Plan Member's completed Replacement Request form. Please check with A.R.M. Management Ltd. to be certain your Health Care Plan includes the Prescription Drug Card.

Change your Address and or Telephone Number - On-Line

  This On-Line Form will allow you to send a change of address to A.R.M. Management Ltd., easily and conveniently from the comfort of your home or place of work.  

Dental Care Benefit Claim Form

  Dental Care Benefit claim forms are available at all Dentist's offices.
News

 
News

 

UNITE HERE Local 47

 

"ATTENTION UNITE HERE Local 47 Members only; please see 3 important Pension Plan Announcements"

1. Monthly Pension Retirement revision: and

2. New Unreduced Retirement Option...click here

3. New Post Retirement Benefits...click here

 

Remember to keep A.R.M. Management Ltd. informed of your mailing address. To change your address click here.

 

QUICK LINKS

 

Alberta Health Care Insurance

Alberta Seniors - Blue Cross

BC Fair Pharmacare

BC Provincial Government

BC Dental Association

Manulife Financial

Medical Services Plan of BC

Human Solutions (formerly Wilson Banwell)