№ files_lp_4_process_3_091127
Formulaire administratif officiel permettant aux employés de CUPE 3903 de s’inscrire ou de modifier leur couverture d’assurance santé, dentaire et vision, et de fournir les informations nécessaires sur les personnes à charge pour le calcul et la coordination des prestations.
Year: 2026
Organization: York University, Pension & Benefits Office
Location: Toronto, ON, Canada
Document Type: Enrollment form
Audience: CUPE 3903 Unit 1 and Unit 3 members
Coverage: Extended Health, Dental, Vision
Effective Date: Date form received or contract start date, whichever is later
Required Documentation: Proof of relationship for spouse, birth or baptismal certificate for children
Coordination of Benefits: Applicable if both employee and spouse have coverage
Deadline: Time-sensitive for student plan opt-out
Form URL: http://www.yorku.ca/hr/services/employees/benefits.html
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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