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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 preceding a Long Weekend May through September and the Office will be closed July 1st and July 2nd, 2010

UNITE HERE Local 47 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.

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.

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.

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.