In addition to your own coverage, your family – spouse or husband - and any children – can also benefit from your plan. To do so, you must extend coverage to them, considered as dependants.
So that these dependants can benefit from coverage, you must complete and forward to us the Family coverage form during the Amendment Period.
You can send us the completed form by email, the same way you would to submit a claim, but you must send it to: firstname.lastname@example.org.
Click here to access the PDF form