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Insurance Administration Manual (IAM) - Chapter 2

Chapters :

2.	PUBLIC SERVICE HEALTH CARE PLAN
	2.1	INTRODUCTION (January 2003)
\|		2.1.1	CONTACTS AND RESOURCES (November 2006)
	2.2	TYPES OF COVERAGE
		2.2.1	SUPPLEMENTARY COVERAGE (November 2002)
		2.2.2	COMPREHENSIVE COVERAGE (August 2002)
	2.3	TYPES OF PROVISIONS
		2.3.1	EXTENDED HEALTH PROVISION (November 2002)
		2.3.2	BASIC HEALTH CARE BENEFIT (April 2002)
		2.3.3	HOSPITAL EXPENSE (OUTSIDE CANADA) PROVISION (April 2002)
		2.3.4	HOSPITAL PROVISION (April 2002)
		2.3.5	ELIGIBLE PERSONS (April 2002)
	2.4	ELIGIBILITY
		2.4.1	ELIGIBLE EMPLOYEES (November 2005)
		2.4.2	EMPLOYEE'S DATE OF ELIGIBILITY (February 2002)
		2.4.3	ELIGIBLE PENSIONERS (July 1998)
		2.4.4	PENSIONER'S DATE OF ELIGIBILITY (March 2002)
		2.4.5	ELIGIBLE DEPENDANTS (January 2002)
		2.4.6	DEPENDANT'S DATE OF ELIGIBILITY (February 2002)
	2.5	CONTRIBUTIONS
		2.5.1	DUE DATE (February 1992)
		2.5.2	DEDUCTIONS AT SOURCE (April 2002)
		2.5.3	MONTHLY CONTRIBUTION RATES (April 2006)
		2.5.4	ADMINISTRATIVE ERRORS (March 2002)
		2.5.5	PAYMENT TO THE ADMINISTRATOR (February 1992)
	2.6	APPLICATION REQUIREMENTS
		2.6.1	WHEN AN APPLICATION IS REQUIRED (February 2002)
		2.6.2	WHEN AN APPLICATION IS NOT REQUIRED (April 2002)
		2.6.3	WHEN OTHER DOCUMENTS ARE REQUIRED (April 2002)
	2.7	JOINING THE PLAN - EMPLOYEES
		2.7.1	APPLICATION PROCESS (November 2002)
		2.7.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (February 2002)
	2.8	AMENDMENT IN COVERAGE - EMPLOYEES
		2.8.1	APPLICATION PROCESS (February 2002)
		2.8.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE -- SINGLE TO FAMILY COVERAGE AND VICE VERSA (February 2003)
		2.8.3	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE -- INCREASING OR DECREASING THE HOSPITAL PROVISION (HP) (February 2003)
		2.8.4	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE -- TRANSFER OF COVERAGE (February 2003)
	2.9	VOLUNTARY CESSATION OF COVERAGE - EMPLOYEES
		2.9.1	CANCELLATION PROCESS (April 2002)
		2.9.2	EFFECTIVE DATE OF CANCELLATION OF DEDUCTIONS AND COVERAGE (October 2002)
	2.10	COVERAGE ON RETIREMENT
		2.10.1	APPLICATION PROCESS (October 2002)
		2.10.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (October 2002)
	2.11	COVERAGE WHEN ENTITLED TO A DEFERRED ANNUITY/ANNUAL ALLOWANCE
		2.11.1	APPLICATION PROCESS (March 2002)
		2.11.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (April 2002)
	2.12	COVERAGE FOR DEPENDANT(S) OF DECEASED EMPLOYEES/PENSIONERS
		2.12.1	APPLICATION PROCESS (August 2002)
		2.12.2	EFFECTIVE DATE OF DEDUCTIONS AND COVERAGE (October 2002)
	2.13	CONTINUOUS COVERAGE
		2.13.1	WHILE IN AN ELIGIBLE CAPACITY (September 2002)
		2.13.2	TRANSFER TO A TERM OF SIX MONTHS OR LESS (September 2002)
		2.13.3	WHILE ON LEAVE WITHOUT PAY (October 2002)
		2.13.4	CREDIT UNIONS/EMPLOYEE ASSOCIATIONS (October 2002)
		2.13.5	BETWEEN SEASONS (October 2002)
		2.13.6	WHEN UNDER SUSPENSION (October 2002)
		2.13.7	ON RETURN TO DUTY (October 2002)
	2.14	CONTINUED COVERAGE AFTER CESSATION OF EMPLOYMENT
		2.14.1	IMMEDIATE ANNUITY/ANNUAL ALLOWANCE (October 2002)
		2.14.2	DEFERRED ANNUITY/ANNUAL ALLOWANCE NOT PAYABLE ON CESSATION OF EMPLOYMENT (October 2002)
		2.14.3	LAY-OFF (October 2002)
		2.14.4	BECAUSE OF PREGNANCY/WIDOW PREGNANT (October 2002)
		2.14.5	DISABLED MEMBER OR DEPENDANT (October 2002)
		2.14.6	DEPUTY HEAD ELECTS UNDER SPECIAL RETIREMENT ARRANGEMENT ACT (SRAA) (April 1996)
	2.15	TERMINATION OF DEDUCTIONS AND COVERAGE
		2.15.1	CEASING TO BE ELIGIBLE (October 2002)
		2.15.2	CESSATION OF EMPLOYMENT (October 2002)
		2.15.3	CANCELLATION (October 2002)
		2.15.4	FAILURE TO MAKE DIRECT PAYMENTS (October 2002)
	2.16	RE-EMPLOYMENT
		2.16.1	WHEN COVERAGE STILL IN EFFECT (October 2002)
	2.17	EMPLOYER-PAID COVERAGE
		2.17.1	ELIGIBILITY (April 2004)
		2.17.2	ACTING BASIS (February 2002)
		2.17.3	EMPLOYER-PAID COVERAGE (February 2002)
		2.17.4	EFFECTIVE DATE OF DEDUCTIONS FOR EMPLOYER-PAID COVERAGE (November 2002)
		2.17.5	EFFECTIVE DATE OF EMPLOYER-PAID COVERAGE (June 2002)
		2.17.6	WHILE ON LWOP (February 2002)
		2.17.7	APPLICATION PROCESS (February 2002)
		2.17.8	CESSATION OF ELIGIBILITY (February 2002)
	2.18	CLAIMS FOR BENEFITS
		2.18.1	TIME LIMIT (February 1992)
		2.18.2	CLAIM PROCESS (June 2004)
	2.19	TRUST SUBMISSION
		2.19.1	HOW TO SUBMIT A CASE (April 2004)
	2.20	FORMS COMPLETION
		CLAIM	CLAIM - PSHCP FOR THE PUBLIC SERVICE OF CANADA (July 1998)
		2.20.330	CLAIM FORM FOR HOSPITAL EXPENSE (O-C) BENEFIT (PSC 330) (July 1993)
		2.20.1422	DEDUCTIONS FROM ANNUITY OR ANNUAL ALLOWANCE (PWGSC-TPSGC 1422) (March 2002)
		2.20.2028.8	APPLICATION FOR DESIGNATION OF ADDITIONAL DEPENDANT FOR COMPREHENSIVE COVERAGE (PSHCP) (PWGSC-TPSGC 2028-8) (March 2002)
		2.20.2140	APPLICATION FOR INCLUSION OF A FOSTER CHILD (DSS-MAS 2140) (July 1993)
		2.20.2143	DECLARATION OF ELIGIBILITY FOR IMPAIRED CHILD 21 YEARS OF AGE OR OVER (July 1993)
		2.20.2243	PSHCP EMPLOYEE APPLICATION (DSS-MAS 2243) (July 1998)
		2.20.2243-1	PSHCP PENSIONER APPLICATION (PWGSC-TPSGC 2243-1) (July 1998)
		2.20.2278	CONTRIBUTION REMITTANCE FOR PERIOD OF LWOP - PSHCP (PWGSC-TPSGC 2278) (October 2002)
		2.20.2397	NOTICE OF CANCELLATION (PWGSC-TPSGC 2397) (October 2002)
		2.20.6482	CLAIM - PSHCP FOR THE PUBLIC SERVICE OF CANADA (INSIDE CANADA) (October 2002)
		2.20.6483	CLAIM - PSHCP FOR THE PUBLIC SERVICE OF CANADA (OUTSIDE CANADA) (October 2002)
		2.20.6491	PSHCP EMPLOYEE APPLICATION (TBS-006491) (April 2004)
		2.20.6492	PSHCP PENSIONER APPLICATION (TBS-006492) (July 1998)