Providence Place
Your benefit plan is provided to support the health and financial well being of you and your family and is an important part of your overall compensation. Your participation in the Basic Life, AD&D and Disability plans is required if you occupy a benefits eligible position. You are also required to participate in Supplementary Health and Dental, with Family coverage selected if you have eligible dependents; however, you may opt out of these plans if proof of coverage under a spouse or other employer plan is provided. Alternatively, you may choose to maximize your coverage under both plans. Details are provided in your Benefit Plan Booklet.
Forms
Alberta Blue Cross Forms
– Go Paperless with Direct Deposit
All other forms including the following, contact your Benefit Representative:
– Beneficiary Designation
– Evidence of Insurability
– Coverage Change Forms
– Health Spending Account – Request for Discretionary Payment
– Long Term Disability Claim
– Life and/or Accidental Death & Dismemberment Claim
– Leave of Absence/Maternity Leave Request
Contact Information
Benefit Representative:
Jay Adams
Providence Place
Box 417, 6120-51 Avenue
Daysland, AB T0B 1A0
Telephone: (780) 374-2527
email: providence.place@hotmail.com


