4 Person who ceases to be a dependant
5 Transfer from group member
6 Transfer from other group insurance plan
7 Cancellation by resident
8 Cancellation by Minister
Part 2
Enrolment by Minister
9 Application of Part 1
10 Enrolment of seniors
11 Enrolment of widow’s pension recipients
Part 3
Expiry
12 Expiry
Definitions
1 In this Regulation,
(a) “Act”
means the Alberta Health Care Insurance Act;
(b) “Alberta
Blue Cross Plan” means the Alberta Blue Cross Plan operated by the ABC Benefits
Corporation under the ABC Benefits Corporation Act and the regulations
under that Act;
(c) “date
of receipt” means the date the applicant’s application under section 2 was
received by the Minister;
(d) “date
of residency” means the date the applicant became a resident of Alberta;
(e) “dependant”,
except in section 4, means dependant as defined in the Alberta Health
Care Insurance Regulation.
Part 1
Applicants for Enrolment
Enrolment as non‑group
member
2(1) A
resident of Alberta who is not in arrears in the payment of premiums under the Health
Insurance Premiums Act may apply to the Minister in the form established by
the Minister to be enrolled, with the resident’s dependants, as a non‑group
member of the Alberta Blue Cross Plan.
(2) The
effective date of membership of an applicant under subsection (1) is the first
day of the 4th month following the date of receipt, unless section 3, 4, 5 or 6
applies.
(3) The
effective date of membership of an applicant’s dependants is the same as the
effective date of membership of the applicant.
New residents
3 The effective date of membership of an
applicant under section 2 is the first day of the 3rd month following the date
of receipt if the applicant moved to Alberta
(a) from
another jurisdiction in Canada and the date of receipt falls before the first day
of the 4th month following the date of residency, or
(b) from
a jurisdiction outside Canada and the date of receipt is not later than 3
months following the date of residency.
Person who ceases to
be a dependant
4 The effective date of membership of an
applicant under section 2 is the date on which the applicant’s registration
under the Health Insurance Premiums Act is effective if all of the
following apply:
(a) the
applicant ceased to be a dependant under the Health Insurance Premiums Act
and applied for registration under that Act;
(b) the
applicant requested an application form referred to in section 2 within one
month after the date shown in the Minister’s records as the date that the
applicant ceased to be a dependant under the Health Insurance Premiums Act;
(c) the
date of receipt is not more than one month after the date the application form
was given or mailed to the applicant;
(d) the
applicant’s eligibility for receipt of benefits under the Alberta Health Care
Insurance Plan has not ceased since the date the applicant ceased to be a
dependant under the Health Insurance Premiums Act.
Transfer from group
member
5(1) Subject
to subsection (2), the effective date of membership of an applicant under
section 2 who wishes to transfer from enrolment as a group member of the
Alberta Blue Cross Plan to enrolment as a non‑group member of the Alberta
Blue Cross Plan is
(a) the
date on which the termination of the applicant’s enrolment as a group member is
effective, or
(b) if
the applicant is notified of the termination of the applicant’s enrolment as a
group member after the date on which the termination is effective,
(i) the date on which the termination of the applicant’s enrolment as
a group member was effective, or
(ii) the first day of the 4th month following the date of receipt,
whichever the applicant
chooses.
(2) Subsection
(1) applies only if the date of receipt is not more than 30 days after the
applicant is notified of the termination of the applicant’s enrolment as a
group member.
Transfer from other
group insurance plan
6(1) Subject
to subsection (2), the effective date of membership of an applicant under
section 2 who wishes to transfer from enrolment under a group insurance plan
that in the Minister’s opinion is similar to the Alberta Blue Cross Plan to
enrolment as a non‑group member of the Alberta Blue Cross Plan is the
date on which the termination of the applicant’s coverage under the group
insurance plan is effective.
(2) Subsection
(1) applies only if the date of receipt is not more than 30 days after the date
on which the termination of the applicant’s coverage under the group insurance
plan is effective.
Cancellation by
resident
7 A resident enrolled as a non‑group
member of the Alberta Blue Cross Plan may notify the Minister to cancel the
resident’s membership and the cancellation of the membership is effective on
the last day of the month in which the Minister receives the notification.
Cancellation by
Minister
8 If a resident enrolled as a non‑group
member of the Alberta Blue Cross Plan is in arrears in the payment of premiums
under the Health Insurance Premiums Act or the regulations under that
Act for a period longer than 3 months, the Minister shall cancel the resident’s
membership as a non‑group member of the Alberta Blue Cross Plan.
Part 2
Enrolment by Minister
Application of Part 1
9 Part 1 does not apply to a resident
enrolled as a non-group member of the Alberta Blue Cross Plan in accordance
with this Part.
Enrolment of seniors
10(1) If
a resident or the resident’s spouse or adult interdependent partner is 65 years
of age or older, the Minister shall enrol the resident and the resident’s
dependants as non‑group members of the Alberta Blue Cross Plan.
(2) The
effective date of membership of a person enrolled under subsection (1) is
(a) the
date on which the registration for basic health services under the Health Insurance Premiums Act becomes
effective, where the resident, spouse or adult interdependent partner is 65
years of age or older at the time of registration,
(b) the
first day of the first month following the 65th birthday of the resident,
spouse or adult interdependent partner, where that birthday occurs after the
date on which the registration for basic health services becomes effective, or
(c) the
date of the 65th birthday of the resident, spouse or adult interdependent
partner, where that birthday falls on the first day of the month and occurs
after the date on which the registration for basic health services becomes
effective.
(3) Entitlement
to enrolment under subsection (1) ceases at the end of the 2nd month following
the month in which the death of the resident, spouse or adult interdependent
partner who is 65 years of age or older occurs.
Enrolment of widow’s
pension recipients
11(1) If
a resident is in receipt of a widow’s pension the Minister shall enrol the
resident and the resident’s dependants as non‑group members of the
Alberta Blue Cross Plan.
(2) The
effective date of membership of a person enrolled under subsection (1) is the
date on which
(a) the
registration for basic health services under the Health Insurance Premiums Act becomes effective, where the resident
is in receipt of the widow’s pension at the time of registration, or
(b) entitlement
to the widow’s pension occurs, where entitlement occurs after the date on which
the registration for basic health services becomes effective.
(3) Entitlement
to enrolment under subsection (1) ceases
(a) at
the end of the 2nd month following the month in which the resident who was
receiving the widow’s pension dies, or
(b) at
the end of the 2nd month following the month in which the resident becomes
ineligible for the widow’s pension,
whichever occurs
first.
Part 3
Expiry
Expiry
12 For the purpose of ensuring that this
Regulation is reviewed for ongoing relevancy and necessity, with the option
that it may be repassed in its present or an amended form following a review,
this Regulation expires on February 15, 2016.
