Family Status Changes After Enrolment in the Healthcare and/or Dental Plans

If you are enrolled in the HEB Manitoba Healthcare and/or Dental Plans and your family status changes, you must complete a Change Form within 60 days of the family status change.

Family to Single Status

If your family status changes to single status and you complete a Change Form within 60 days of the date your family member(s) are no longer eligible, you are entitled to a premium rebate of the difference between single and family rates, providing no claims have been paid for any eligible family members within the last 60 days.

If you complete a Change Form more than 60 days after the date your status changes from family to single, you will pay single premium rates going forward only.

Single to Family Status

If your single status changes to family status (due to marriage, start of common-law relationship, birth of a child, etc.) and you complete a Change Form within 60 days of the date you acquire eligible family members, your employer will change your premiums from the single to the family rate.

If you complete a Change Form more than 60 days after your status changes from single to family, your eligible family members will each be subject to a one-year waiting period for Healthcare and/or Dental benefits. You will not be charged family rates until the one-year waiting period ends. The one-year waiting period begins the day you sign the form, provided HEB Manitoba receives the form within 10 business days from the date you signed it. If HEB Manitoba receives the form after 10 business days of you signing it, the waiting period starts on the date HEB Manitoba receives the form.

Common-Law Partners

The date that Healthcare and Dental coverage begins for common-law partners depends on when you began living together and when you declared your relationship to HEB Manitoba.

If you were not living together at the time of your initial enrolment, you must declare your common-law partner within 60 days of the date you initially begin living together by submitting a Change Form. Your common-law partner will not be eligible for coverage until you have lived together for one full year. You will not be charged family rates until the one-year waiting period ends.

If you complete a Change Form more than 60 days after you begin living together, your common-law partner will be subject to a one-year waiting period for Healthcare and/or Dental benefits. You will not be charged family rates until the one-year waiting period ends. The one-year waiting period begins the day you sign the form, provided HEB Manitoba receives the form within 10 business days from the date you signed it. If HEB Manitoba receives the form after 10 business days of you signing it, the waiting period starts on the date HEB Manitoba receives the form.

Addition of Eligible Family Members

If you are currently enrolled in family status, and acquire an additional eligible family member (due to birth of a child, marriage, start of common-law relationship, etc.), and you complete a Change Form within 60 days of the date you acquire the additional eligible family member, coverage for the additional family member will begin on the first of the month following the date of acquiring the additional family member. As you are already enrolled in family status, your premiums will not change.

If you complete a Change Form more than 60 days after you acquire an additional eligible family member, coverage for the additional family member will begin on the first of the month following the day you sign the form, provided HEB Manitoba receives the form within 10 business days from the date you signed it. If the form is received after 10 business days of you signing it, coverage for the additional family member will begin on the first of the month after HEB Manitoba receives the form.

Common-Law Partners: The one-year co-habitation requirement for a common-law partner continues to apply. Once the one-year co-habitation requirement is met, and provided you already have family coverage, you can submit a Change Form to your human resources or benefits department to declare the common-law partner. The common-law partner will be eligible for benefits on the first of the month following the date you sign the Change Form.

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Disclaimer - This website provides a basic overview of the Healthcare Employees' Pension Plan (HEPP) and the Healthcare Employees' Benefits Plan (HEBP) (collectively the HEB Manitoba Pension and Benefit Plans). Not all employers participate in all Plans. Please check your eligibility for benefits with your employer.

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