NB: Please read Important Notes and the Privacy and Confidentiality Statement prior to enrollment.
- Review our rates and determine the coverage you wish to purchase.
- Download the Hospital, Health and Dental Care Plan Enrollment Form and complete it in full.
Make sure to indicate Plan I, Plan II or Plan III, and if you wish to enroll in the Annual Travel Insurance Plan. If you wish coverage for your spouse, please fill out the required section.
Print, sign and date the Enrollment Form.
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Do not send money. All that is required is a blank cheque marked "VOID" to set up the convenient Pre-authorized Debit Agreement for your monthly premiums.
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Mail your Enrollment Form and your void cheque to ENCON Group Inc. (Toronto office).
Coverage begins on the later of the Effective Date that you requested on your Enrollment Form or the date your Enrollment Form and your void cheque are received by ENCON.
Coverage under the Annual Travel Insurance Plan (if requested) begins on the later of the actual Effective Date of your Hospital, Health and Dental Care Plan or the termination date of an existing annual travel insurance plan.
If applying for a Hospital, Health and Dental Care Plan after the 90-day guaranteed acceptance period – your acceptance is subject to the completion of a medical questionnaire and approval by the insurance company. Please contact ENCON Group Inc. to obtain the appropriate medical questionnaire. Our toll free number is 1-800-387-2037 or you may email us at retireeplan@encon.ca.
Benefits Reminder Service
If your benefits do not terminate in the near future, and you would like to consider the ENCON retiree benefits program when they do, simply email us or call our ENCON insurance program specialists at 1-800-387-2037. We will need your name, contact information and the date your benefits terminate in order to contact you at the appropriate time.
ENCON Health and Dental Care Plans / Annual Travel Insurance Plan Enrollment Form