Benefits for member employers and their employees: forms and documents
Collection of forms and documents for participating member employers and their employees.
This collection provides the benefit forms, documents and costs for administrators of member employers and their employees who participate in the Government of Nova Scotia benefits plan.
Benefits plan informationEmployee benefits overview: member employers
Summary of Health and Dental Plan coverage for employees of participating member employers.Benefits administration guide for member employers
Guidelines on how to administer group health, dental and life insurance plans for participating member employers.Health and Dental Plan benefits for active employees of participating member employers
Hospital benefits, extended health benefits, drug benefits, dental benefits, travel benefits and exclusions.
FormsEnroll in the Health and Dental Plan or make changes to the status of your plan
Apply to enroll in the Health and Dental Plan or make changes to the status of your plan. This includes adding or deleting dependents from your plan.Apply for optional life insurance coverage: government employees
Apply for optional life insurance coverage for you, your eligible spouse and eligible dependent children if you’re an employee of the Government of Nova Scotia.Nominate beneficiaries for your basic and optional life insurance plans
Nominate beneficiaries, appoint contingent beneficiaries and nominate trustees for minor beneficiaries for your basic and optional life insurance plans.Apply for health and dental coverage for an over age dependent child
You can apply for health and dental coverage for your dependent child if they’re a student between the ages of 21 and 24.
CostsHealth and Dental Plan costs: government employees and retirees
Premium costs for the Health and Dental Plan for government employees and the Retired Employee Health Plan for retirees.Basic and optional life benefit plan costs: government employees and retirees
Costs for group basic and optional life benefit plans for government employees and retirees.
ContractsHealth and Dental Plan Contract
Products and services payable under the Health and Dental Plan, as well as who can participate in the plan.Life insurance policy: government employees
Agreement between the Government of Nova Scotia and Sun Life for group term life insurance, as well as who can participate in the policy.
- Medavie Blue Cross claim forms
- Medavie Blue Cross Mobile (app for iOS and Android devices)
- Special Dependent Questionnaire - Medavie Blue Cross
- Disabled Child Coverage Form for child optional life insurance
- Nova Scotia Public Service Long Term Disability Plan
- Nova Scotia Pension Services Corporation